MEDICARE: GREGORY L FREEMAN MD

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
1	207RC0000X	Cardiovascular Disease Physician	G5903	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00898236	OTHER	TX	RAILROAD MEDICARE
4	TXB112461	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CM504	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871600866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY L FREEMAN MD

Provider Business Mailing Address
First Line	:	4306 DE ZAVALA RD BLDG 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-4590
Country	:	US
Telephone Number	:	210-450-6720
Fax Number	:

Provider Business Practice Location Address
First Line	:	4306 DE ZAVALA RD BLDG 1
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-4590
Country	:	US
Telephone Number	:	210-450-6720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	09/25/2025

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