Provider Demographics
NPI:1033104336
Name:MARCHAND, GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:MARCHAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16004 SNOWDONIA CV
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4001
Mailing Address - Country:US
Mailing Address - Phone:512-663-8052
Mailing Address - Fax:
Practice Address - Street 1:16004 SNOWDONIA CV
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-4001
Practice Address - Country:US
Practice Address - Phone:512-663-8052
Practice Address - Fax:512-350-2825
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8620207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX357551Medicare Oscar/Certification
TX8983B9Medicare Oscar/Certification
TX8983B9Medicare Oscar/Certification