Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | H66161 | TX |
N | 207QA0401X | Family Doctor - Addiction Medicine | L5187 | TX |
NPI | 1447223516 |
---|---|
Provider Name | Dr. Gregg A Workman |
First Address | Brenham, TX 77833-5430 |
Second Address | Brenham, TX 77833-5430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 07/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H66161 | (02) | |
L5187 | STATE LICENSE (01) |