Individual
GREGORY ADRIAN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGCNS-BC
Contact information
Practice address
1301 W 38TH ST STE 403, AUSTIN, TX 78705-1013
(512) 593-7902
Mailing address
1408 COLETO ST, AUSTIN, TX 78702
(610) 716-9159
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
AP142303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP142303
TEXAS STATE BOARD OF NURSING
TX
Enumeration date
07/22/2019
Last updated
07/22/2019
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