Gregory E Hyde MD PHD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M0115 Issued in TX

Legal business name

GREGORY E HYDE MD PHD PA

Practice address

1018 Mound St Ste 103
Nacogdoches, TX 75961-4434

Phone

(936) 560-2600

Fax

(936) 560-4500

NPI assigned

Apr 29, 2008

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory E Hyde, MD PHD

Title

President/Physician

Phone

(936) 560-2600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1457526402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 MOUND ST STE 103",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614434",
            "telephone_number": "936-560-2600",
            "fax_number": "936-560-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 MOUND ST STE 103",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614434",
            "telephone_number": "936-560-2600",
            "fax_number": "936-560-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E HYDE MD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "936-560-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M0115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Nacogdoches, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.