Doctor Name: | GREGORY EDMUND HYDE |
NPI Number: | 1063498343 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD PHD |
License Number: | M0115 |
Business Practice Address: | 1018 N Mound St Ste 203 Nacogdoches, TX - 759614434 |
Business Phone Number: | 9365602600 |
Business Fax Number: | |
Mailing Address: | 1018 N Mound St Ste 203, NACOGDOCHES |
State: | TX |
Postal Code: | 759614434 |
Phone Number: | 9365602600 |
Fax Number: | 9365604500 |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0602X |
License Number: | M0115 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngic Allergy |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |