Basic Information
| Provider Information | |||||||||
| NPI: | 1467440685 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | O'NEIL | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7900 FANNIN ST | ||||||||
| Address2: | SUITE 2300 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770542900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137901349 | ||||||||
| FaxNumber: | 7137900028 | ||||||||
| Practice Location | |||||||||
| Address1: | 7900 FANNIN ST | ||||||||
| Address2: | SUITE 2300 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770542900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137901349 | ||||||||
| FaxNumber: | 7137900028 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2005 | ||||||||
| LastUpdateDate: | 03/17/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | E8778 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 81W653 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER |