Dr. Gregory Roy Istre
Pediatric Infectious Diseases
4014 Crestwood Dr
Carrollton
, Texas 75007-1645
Dr. Gregory Roy Istre
Pediatric Infectious Diseases
4014 Crestwood Dr
Carrollton
, Texas 75007-1645
(214) 855-8510
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Gregory Roy Istre
- Po Box 795275
- Dallas, TX
- Zip : 75379-5275
- Phone : (214) 855-8510
Second Address
- Dr. Gregory Roy Istre
- 4014 Crestwood Dr
- Carrollton, TX
- Zip : 75007-1645
- Phone : (214) 855-8510
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | J0536 | TX |
National Provider Identifier
| NPI | 1336128057 |
|---|---|
| Provider Name | Dr. Gregory Roy Istre |
| First Address | Dallas, TX 75379-5275 |
| Second Address | Carrollton, TX 75007-1645 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 03/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100826250B | (05) | OK |
| 136229507 | (05) | TX |
| 89311K | BCBS (01) | TX |
| E27652 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.