Individual
MR. GREGORIO JOSE ROBLES FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 N VIRGINIA ST, PORT LAVACA, TX 77979-3430
(832) 691-4694
Mailing address
8300 N LAMAR BLVD, STE 200A, AUSTIN, TX 78753-5976
(512) 782-9312
(512) 782-9316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP145545
TX
Other
Enumeration date
08/03/2020
Last updated
03/17/2022
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