Provider Demographics
NPI:1578515797
Name:ROHN, GREGORY N (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:N
Last Name:ROHN
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 1:8230 WALNUT HILL LN
Mailing Address - Street 2:STE 420
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4482
Mailing Address - Country:US
Mailing Address - Phone:214-265-0800
Mailing Address - Fax:214-265-1027
Practice Address - Street 1:6300 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8104
Practice Address - Country:US
Practice Address - Phone:972-378-0633
Practice Address - Fax:972-378-0656
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8358174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
040010568OtherMEDICARE RAILROAD PIN
TX82Z541OtherBCBS PROVIDER NUMBER
TX5252017OtherAETNA PROVIDER NUMBER
TX82Z541OtherBCBS PROVIDER NUMBER
TXG06609Medicare UPIN
040010568OtherMEDICARE RAILROAD PIN