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NPI Code Detail

MEDICARE: ALYSSA LAYNE GREGORY

MEDICARE: ALYSSA LAYNE GREGORY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710611728
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA LAYNE GREGORY
Provider Business Mailing Address
First Line : 5325 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-9006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5325 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7208
Country : US
Telephone Number : 214-648-2168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2022
Last Update Date : 07/14/2022

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Directions to “ ALYSSA LAYNE GREGORY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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