Provider Demographics
NPI:1447223516
Name:WORKMAN, GREGG A (MD)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:A
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:601 MEDICAL PARKWAY
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5430
Mailing Address - Country:US
Mailing Address - Phone:979-836-2822
Mailing Address - Fax:979-836-1943
Practice Address - Street 1:601 MEDICAL PARKWAY
Practice Address - Street 2:SUITE D
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5430
Practice Address - Country:US
Practice Address - Phone:979-836-2822
Practice Address - Fax:979-836-1943
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH66161207QA0401X
TXL5187207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
L5187OtherSTATE LICENSE
H66161Medicare UPIN