Provider Demographics
NPI:1386620458
Name:LACHAR, GREGORY SAMUEL (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:SAMUEL
Last Name:LACHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 201606
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-1606
Mailing Address - Country:US
Mailing Address - Phone:972-758-3598
Mailing Address - Fax:
Practice Address - Street 1:3901 W 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7738
Practice Address - Country:US
Practice Address - Phone:972-758-3598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9771207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C0843OtherBCBS
TX8F8192OtherBCBS
TX8M6795OtherBCBS
TX8K8918OtherBCBS
TX8U4377OtherBCBS
TXI30485Medicare UPIN
TXP00343142Medicare PIN
TXP00343267Medicare PIN
TX8K8918OtherBCBS
TX8G6204Medicare PIN
TX8U4377OtherBCBS
TX8D5060Medicare PIN
TX8C0843OtherBCBS
TXP00283748Medicare PIN