NPI: 1952420804 · PORTLAND, TX 78374 · Family Medicine Physician · NPI assigned 03/29/2007
| Authorized Official | GREGORY, CHARLES (OWNER) |
| NPI Enumeration Date | 03/29/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 23 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99335 | 23 | 12 | $0.00 |