Provider Demographics
NPI:1356741326
Name:GREGORY & ASSICIATES LLC
Entity type:Organization
Organization Name:GREGORY & ASSICIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LORIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:JR
Authorized Official - Credentials:HIS
Authorized Official - Phone:210-849-1000
Mailing Address - Street 1:8703 THATCH DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3713
Mailing Address - Country:US
Mailing Address - Phone:210-849-1000
Mailing Address - Fax:
Practice Address - Street 1:1619 COMMON ST
Practice Address - Street 2:SUITE 1201 BLDG L
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3452
Practice Address - Country:US
Practice Address - Phone:830-730-5185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80477332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment