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Organization
NGX G GERBER PC
Active
Organization
NGX G GERBER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRACIANO (PATIENT SERVICE CENTER MANAGER)
(915) 261-9418
Entity
Organization
Contact information
Practice address
5901 W WACO DR, WACO, TX 76710-6356
(361) 208-6062
(361) 208-6062
Mailing address
5901 W WACO DR, WACO, TX 76710-6356
(361) 208-6062
(361) 208-6062
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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