Healthcare Provider Details

I. General information

NPI: 1104126341
Provider Name (Legal Business Name): LORIN E GREGORY JR. H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 COMMON ST STE 1201
NEW BRAUNFELS TX
78130-3464
US

IV. Provider business mailing address

8703 THATCH DR.
SAN ANTONIO TX
78240
US

V. Phone/Fax

Practice location:
  • Phone: 830-730-5185
  • Fax:
Mailing address:
  • Phone: 210-849-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number80477
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: