Provider Demographics
NPI:1427385491
Name:SHARON E. GREGGS, M.D., P.A.
Entity Type:Organization
Organization Name:SHARON E. GREGGS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:GREGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-243-3315
Mailing Address - Street 1:9 MEDICAL PKWY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7858
Mailing Address - Country:US
Mailing Address - Phone:972-243-3315
Mailing Address - Fax:972-243-7127
Practice Address - Street 1:9 MEDICAL PKWY
Practice Address - Street 2:SUITE 303
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7858
Practice Address - Country:US
Practice Address - Phone:972-243-3315
Practice Address - Fax:972-243-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9501174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0326548.01Medicaid
TXF9501OtherMEDICAL LICENSE
TX0326548.01Medicaid
TXF9501OtherMEDICAL LICENSE