Individual
GREMAR CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7000
Mailing address
20709 SONG BIRD DR, PFLUGERVILLE, TX 78660-7881
(512) 944-5238
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
AP137629
TX
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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