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Gregory McCrum is one of 37 physician assistants practicing in Boerne, Texas .
Gregory McCrum practices with Privia Medical Group Gulf Coast PLLC.
Registry record (NPPES)
NPI
1528047644
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
11212 Tx Hwy 151 San Antonio, TX 78251 (210) 703-8501
Enumerated
Jan 17, 2006
Record last updated
Oct 28, 2014
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
112 Herff Rd Suite 110
Boerne , TX 78006
(830) 331-8585
17510 W Grand Pkwy S
Sugar Land , TX 77479
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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