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Organization
GURUMD
Active
Organization
GURUMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE D ANDERSON (ACCOUNT MANAGER)
(800) 406-4796
Entity
Organization
Contact information
Practice address
1515 S CAPITAL OF TEXAS HWY STE 105, AUSTIN, TX 78746-6579
(888) 348-7863
Mailing address
2510 S 31ST ST # 28, TEMPLE, TX 76504-7118
(888) 348-7863
(888) 736-9034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P7828
TX
Other
Enumeration date
09/21/2017
Last updated
10/30/2019
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