1942283056 NPI number — MRS. JULES GREIF MD

Table of content: MRS. JULES GREIF MD (NPI 1942283056)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942283056 NPI number — MRS. JULES GREIF MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREIF
Provider First Name:
JULES
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942283056
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 660599
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75266-0599
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4201 BROOK SPRING DR
Provider Second Line Business Practice Location Address:
OAK WEST HEALTH CENTER
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75224-4938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-266-1450
Provider Business Practice Location Address Fax Number:
214-266-1452
Provider Enumeration Date:
11/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  H8666 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 139589902 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589916 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589920 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589908 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589909 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589915 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589910 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589907 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110090424 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 139589901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589912 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 89G934 . This is a "BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 139589905 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589914 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589906 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 139589919 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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