Look up the most recent NPI and PECOS records

Igor Darko Gregoric

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

1101 Bates Ave, Suite P-514, Houston, TX 77030-2607

PECOS Enrollment

This provider is enrolled in PECOS as IGOR GREGORIC.

Based on the most recent information from CMS, provider Igor Darko Gregoric is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043308844
Provider Type
Individual
Full Name
Gregoric, Igor Darko
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/10/2006
Last Updated
2/29/2012

Contact Information

Practice Location

1101 Bates Ave, Suite P-514, Houston, TX 77030-2607

(832) 355-4900

(832) 355-3770

Mailing Location

1101 Bates Ave, Suite P-514, Houston, TX 77030-2607

(832) 355-4900

(832) 355-3770

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License L0223 Texas
Code 174400000X	Description Specialist Other Service Providers	License L0223 Texas

Provider Identifiers

ID	Description	Issuer
ID 020047577	Description Other	Issuer RAILROAD MEDICARE Texas

Igor Darko Gregoric

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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