Individual
ERICH J GRETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 400, AUSTIN, TX 78723-3077
(512) 708-1234
(512) 708-4567
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 400, AUSTIN, TX 78723-3077
(512) 708-1234
(512) 708-4567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A83296
CA
208600000X
Surgery Physician
Primary
N5695
TX
2086S0120X
Pediatric Surgery Physician
N5695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112887805
—
TX
Enumeration date
03/02/2007
Last updated
02/03/2012
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