Healthcare Provider Details

I. General information

NPI: 1790794592
Provider Name (Legal Business Name): GREG L WESTMORELAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 SETON CENTER PKWY SUITE 200
AUSTIN TX
78759-4107
US

IV. Provider business mailing address

4700 SETON CENTER PKWY SUITE 200
AUSTIN TX
78759-4107
US

V. Phone/Fax

Practice location:
  • Phone: 512-439-1000
  • Fax: 412-439-1081
Mailing address:
  • Phone: 512-439-1000
  • Fax: 412-439-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberL1237
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberL1237
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: