Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | L6111 | TX |
NPI | 1023004694 |
---|---|
Provider Name | Greg Stewart Mclauchlin |
First Address | Houston, TX 77030-4520 |
Second Address | Houston, TX 77030-4520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 20/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158083901 | (05) | TX |
3579429 | AETNA (01) | TX |
8K1154 | BCBS (01) | TX |
H80927 | (02) | TX |
P00006717 | RAILROAD MEDICARE (01) | TX |