Gregory John Weisbruch in Longview - Diagnostic Radiology
Gregory John Weisbruch - NPI 1215980040
Gregory John Weisbruch is a Diagnostic Radiology in Longview, Texas. Gregory John Weisbruch practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Gregory John Weisbruch is 1215980040. The last update date is 2017-10-03.
Gregory John Weisbruch's current location address is 3206 4th St, Longview, Texas. You can contact this provider via phone number 9036634800 and fax number 9036637394. The mailing address for Gregory John Weisbruch is 3206 4th St, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory John Weisbruch |
|---|---|
| Address | 3206 4th St, Longview, Texas |
| Phone Number | 9036634800 |
| Fax Number | 9036637394 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215980040 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2017-10-03 |
Provider Mailing Address Detail
| Address | 3206 4th St |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756055143 |
| Phone Number | 9036634800 |
| Fax Number | 9036637394 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G8496 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139986729 | TX | -- | |
| 139986727 | TX | -- | |
| 139986726 | TX | -- |
Post Comment/ Review Below
What is the Gregory John Weisbruch's 1215980040?
The Gregory John Weisbruch's NPI (National Provider Identifier) Number is 1215980040. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory John Weisbruch is physically located?
The Gregory John Weisbruch is physically situated at the following address: 3206 4Th St, Longview, TX, 756055143.
What is Gregory John Weisbruch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gregory John Weisbruch is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215980040 to Gregory John Weisbruch?
The Centers for Medicare & Medicaid Services assigned the 1215980040 to Gregory John Weisbruch on 2006-05-19.
When was the information regarding Gregory John Weisbruch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gregory John Weisbruch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-10-03.
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