Provider Demographics
NPI:1265651897
Name:DEARMOND, GREGORY MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:MICHAEL
Last Name:DEARMOND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8711 VILLAGE DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5418
Mailing Address - Country:US
Mailing Address - Phone:830-310-3491
Mailing Address - Fax:830-310-3506
Practice Address - Street 1:545 CREEKSIDE XING
Practice Address - Street 2:SUITE 106
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4271
Practice Address - Country:US
Practice Address - Phone:830-310-3506
Practice Address - Fax:830-310-3506
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2017-04-12
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Provider Licenses
StateLicense IDTaxonomies
TXM7939208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery