Healthcare Provider Details

I. General information

NPI: 1447223516
Provider Name (Legal Business Name): GREGG A WORKMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MEDICAL PARKWAY SUITE D
BRENHAM TX
77833-5430
US

IV. Provider business mailing address

601 MEDICAL PARKWAY SUITE D
BRENHAM TX
77833-5430
US

V. Phone/Fax

Practice location:
  • Phone: 979-836-2822
  • Fax: 979-836-1943
Mailing address:
  • Phone: 979-836-2822
  • Fax: 979-836-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberH66161
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL5187
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: