Gregory Sweet LSA

NPI 1316159296 - Physician Assistant - 363AS0400X

NPI Details
NPI 1316159296
Gender Male
Enumeration Date 05/04/2007
Last Updated 02/09/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
12323 PINEY BEND DR
TOMBALL TX, 77375-7853, US
Phone (281) 748-5043
Fax
Business Location
PO BOX 1001
SAME
TOMBALL TX, 77377-1001, US
Phone (832) 559-1523
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Texas
License Number SA00318
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According to our database, Gregory Sweet LSA NPI is 1316159296, taxonomy code is 363AS0400X and license number is SA00318, license state is located at Texas. Gregory Sweet LSA physically located at 12323 Piney Bend Dr, Tomball TX, 77375-7853. NPI Number Gregory Sweet LSA has the Individual type.

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1316159296 NPI number is provided on an as is basis without warranty of any kind. 1316159296 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Sweet LSA are for informational purposes only.