Provider Demographics
NPI:1134175904
Name:GREGORY, DAVID K (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:GREGORY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:440 W IH 635 FWY
Mailing Address - Street 2:SUITE 415
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3707
Mailing Address - Country:US
Mailing Address - Phone:972-254-4297
Mailing Address - Fax:972-254-9213
Practice Address - Street 1:440 W IH 635 FWY
Practice Address - Street 2:SUITE 415
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3707
Practice Address - Country:US
Practice Address - Phone:972-254-4297
Practice Address - Fax:972-254-9213
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2015-04-09
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Provider Licenses
StateLicense IDTaxonomies
TXF6686207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00EX48Medicare ID - Type Unspecified
TXC16288Medicare UPIN