Individual
DR. GREGORY BRUNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-3539
(210) 340-1212
Mailing address
5430 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78229-3539
(210) 340-1212
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
DR.0056570
CO
207W00000X
Ophthalmology Physician
Primary
R2066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372130002
—
TX
01
—
372130003
CSHCN
TX
Enumeration date
05/15/2012
Last updated
07/21/2022
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