NPI Code Details Logo

NPI 1376572867

NPI 1376572867 : GREGORY NORMAN MESSNER D.O. : PLANO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376572867
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GREGORY NORMAN MESSNER D.O.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/30/2006
-----------------------------------------------------
    Last Update Date     |    12/20/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4708 DEXTER DR STE 350 
-----------------------------------------------------
    City                 |    PLANO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75093-5288
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-750-8041
-----------------------------------------------------
    Fax                  |    469-750-3057
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6717 COLUMBINE WAY 
-----------------------------------------------------
    City                 |    PLANO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75093-6347
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-750-8041
-----------------------------------------------------
    Fax                  |    469-750-3057
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    K5159
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2086S0129X
-----------------------------------------------------
    Taxonomy Name        |    Vascular Surgery Physician
-----------------------------------------------------
    License Number       |    K5159
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    208G00000X
-----------------------------------------------------
    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
-----------------------------------------------------
    License Number       |    K5159
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.