# GLORIA RODARTE BRUN, M. D., P. A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255462917
- **Authorized official:** DR. GLORIA RODARTE BRUN M. D. (PRESIDENT)
- **Authorized official phone:** (903) 454-9404

## Contact information

- **Practice address:** 5604 WESLEY ST, STE. 101, GREENVILLE, TX 75402-6326
- **Practice address phone:** (903) 454-9404
- **Practice address fax:** (903) 454-2129
- **Mailing address:** 5604 WESLEY ST, STE. 101, GREENVILLE, TX 75402-6326
- **Mailing address phone:** (903) 454-9404
- **Mailing address fax:** (903) 454-2129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | J6890 | TX | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 06/24/2024