Healthcare Provider Details

I. General information

NPI: 1114927928
Provider Name (Legal Business Name): GREGORY O APPLETON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8006 HERTFORDSHIRE CIR
SPRING TX
77379-4645
US

IV. Provider business mailing address

8006 HERTFORDSHIRE CIR
SPRING TX
77379-4645
US

V. Phone/Fax

Practice location:
  • Phone: 281-579-0061
  • Fax: 281-579-0093
Mailing address:
  • Phone: 281-579-0061
  • Fax: 281-579-0093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberL6265
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberL6265
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: