Provider Demographics
NPI:1053324095
Name:PAUL, GREGORY M (MD)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:M
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1009 N GEORGETOWN ST
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3289
Mailing Address - Country:US
Mailing Address - Phone:512-255-1720
Mailing Address - Fax:512-244-8371
Practice Address - Street 1:150 SETTLEMENT DR STE E
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-9662
Practice Address - Country:US
Practice Address - Phone:512-303-3963
Practice Address - Fax:512-303-6366
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA946212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicaid
TXH57621Medicare UPIN
TXPENDINGMedicaid