Provider Demographics
NPI:1689678641
Name:CLARIDAY, GREGORY T (M D)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:T
Last Name:CLARIDAY
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:6807 EMMETT F LOWRY EXPY
Mailing Address - Street 2:STE 102
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2543
Mailing Address - Country:US
Mailing Address - Phone:281-488-7213
Mailing Address - Fax:281-669-3618
Practice Address - Street 1:555 E MEDICAL CENTER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4367
Practice Address - Country:US
Practice Address - Phone:281-488-7213
Practice Address - Fax:281-488-1387
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2022-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG3230207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138145109Medicaid
TX180023984OtherRAILROAD MEDICARE
TX180023984OtherRAILROAD MEDICARE
TX81Y420Medicare PIN
TX89X370Medicare PIN