Basic Information
| Provider Information | |||||||||
| NPI: | 1821006834 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | W GREGORY LENSING MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5501 INDEPENDENCE PKWY | ||||||||
| Address2: | #203 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725969511 | ||||||||
| FaxNumber: | 9728678163 | ||||||||
| Practice Location | |||||||||
| Address1: | 5501 INDEPENDENCE PKWY | ||||||||
| Address2: | #203 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725969511 | ||||||||
| FaxNumber: | 9728678163 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 07/19/2011 | ||||||||
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| AuthorizedOfficialLastName: | LENSING | ||||||||
| AuthorizedOfficialFirstName: | W | ||||||||
| AuthorizedOfficialMiddleName: | GREGORY | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9725969511 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.