Andre John Gremillion SR. MES

NPI 1710205620 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1710205620
Gender Male
Enumeration Date 05/17/2010
Last Updated 05/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
182 BRANDONS WAY
BUDA TX, 78610-4959, US
Phone (512) 608-7733
Fax
Business Location
1033 LA POSADA DR
SUITE 308
AUSTIN TX, 78752-3842, US
Phone (512) 284-7192
Fax (512) 284-7203
Toxanomy
Taxonomy Code 225400000X
License State Texas
License Number 8AG13-10
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According to our database, Mr. Andre John Gremillion SR. MES NPI is 1710205620, taxonomy code is 225400000X and license number is 8AG13-10, license state is located at Texas. Andre John Gremillion SR. MES physically located at 182 Brandons Way, Buda TX, 78610-4959. NPI Number Andre John Gremillion SR. MES has the Individual type.

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1710205620 NPI number is provided on an as is basis without warranty of any kind. 1710205620 is maintained by the National Plan & Provider Enumeration System. The contents of Andre John Gremillion SR. MES are for informational purposes only.