Provider Demographics
NPI:1245239326
Name:KRYNSKI, GREGORY A (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:KRYNSKI
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 1:1208 HIGHWAY 6 STE B
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4903
Mailing Address - Country:US
Mailing Address - Phone:281-456-4143
Mailing Address - Fax:281-494-0026
Practice Address - Street 1:6060 BELLAIRE BLVD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5425
Practice Address - Country:US
Practice Address - Phone:281-501-1999
Practice Address - Fax:281-501-8543
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2021-03-18
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
TXJ2454174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127551304Medicaid
TXF48386Medicare UPIN
TX0053ATMedicare PIN
TX0053ATMedicare ID - Type Unspecified