Healthcare Provider Details

I. General information

NPI: 1558608174
Provider Name (Legal Business Name): GREGORY NORMAN MESSNER.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2013
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4708 DEXTER DR STE 300
PLANO TX
75093-5568
US

IV. Provider business mailing address

4708 DEXTER DR STE 300
PLANO TX
75093-5568
US

V. Phone/Fax

Practice location:
  • Phone: 469-750-8041
  • Fax: 469-750-3057
Mailing address:
  • Phone: 469-750-8041
  • Fax: 697-503-0574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MARCHESES
Title or Position: OFFICE MANAGER
Credential:
Phone: 214-205-4995