Provider Demographics
NPI:1740554336
Name:GREGORY NORMAN MESSNER LLC
Entity type:Organization
Organization Name:GREGORY NORMAN MESSNER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:NORMAN
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 STE 480
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 1:4708 DEXTER DR STE 300
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5568
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:2012-02-29
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2086S0129X, 208G00000X
261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXGDC26Medicaid
TX149924614Medicaid
TXG73763Medicare UPIN