Provider Demographics
NPI:1013390079
Name:GREGORIO, XAVIER L (OD)
Entity Type:Individual
Prefix:
First Name:XAVIER
Middle Name:L
Last Name:GREGORIO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:4326 ARBOR CREST LN
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-2095
Mailing Address - Country:US
Mailing Address - Phone:805-704-8680
Mailing Address - Fax:805-704-8680
Practice Address - Street 1:1310 JASMINE AVE STE B
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-3402
Practice Address - Country:US
Practice Address - Phone:281-707-7765
Practice Address - Fax:832-843-7280
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2023-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX8738T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist