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General NPI Number Information
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NPI Number | 1073701181
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Entity Type | Organization
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Legal Business Name | GREG KRENEK, M.D., P.A.
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 503 MEDICAL CENTER BLVD SUITE 140
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City | CONROE
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State | TX
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Zip | 77304-2928
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Country | US
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Telephone | 936-756-0668
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Fax | 936-756-7787
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Provider Business Mailing Address
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Address Line | 503 MEDICAL CENTER BLVD SUITE 140
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City | CONROE
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State | TX
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Zip | 77304-2928
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Country | US
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Telephone | 936-756-0668
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Fax | 936-756-7787
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Authorized Official
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Title or Position | PHYSICIAN
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Name | GREG KRENEK
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Credential | M.D.
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Telephone | 936-756-0668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | J6529
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License Number State | TX
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