Provider Demographics
NPI:1508952870
Name:HESTER, GREGORY DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:DANIEL
Last Name:HESTER
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 1:9230 KATY FWY
Mailing Address - Street 2:STE 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7467
Mailing Address - Country:US
Mailing Address - Phone:713-634-4441
Mailing Address - Fax:713-634-4442
Practice Address - Street 1:9230 KATY FWY STE 510
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7467
Practice Address - Country:US
Practice Address - Phone:713-634-4441
Practice Address - Fax:713-634-4442
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6941208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166837801Medicaid
TXTXB108124OtherMEDICARE HARRIS
TXTXB107935OtherMEDICARE MONTGOMERY
TXTXB107935OtherMEDICARE MONTGOMERY
TXI03718Medicare UPIN
GAP00142251Medicare PIN