Provider Demographics
NPI:1275084618
Name:DOCTOR GREG MESSNER PLLC
Entity Type:Organization
Organization Name:DOCTOR GREG MESSNER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:N
Authorized Official - Last Name:MESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-364-3050
Mailing Address - Street 1:6717 COLUMBINE WAY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6347
Mailing Address - Country:US
Mailing Address - Phone:214-364-3050
Mailing Address - Fax:
Practice Address - Street 1:3600 CONFLANS RD STE 103
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-6324
Practice Address - Country:US
Practice Address - Phone:469-750-8041
Practice Address - Fax:469-750-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5159208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK5159OtherPHYSICIAN