Provider Demographics
NPI:1750640488
Name:PROPST, GREGORY KEITH JR (PT, DPT, MS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:KEITH
Last Name:PROPST
Suffix:JR
Gender:M
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 EGREMONT PL
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-3213
Mailing Address - Country:US
Mailing Address - Phone:956-212-6000
Mailing Address - Fax:
Practice Address - Street 1:4301 EGREMONT PL
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-3213
Practice Address - Country:US
Practice Address - Phone:956-212-6000
Practice Address - Fax:979-271-5331
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3111342225100000X
TX1218847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist