Individual
BORIS A GRITZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3816 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
(512) 406-6266
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L2288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146600503
—
TX
05
—
146600504
—
TX
Enumeration date
07/29/2006
Last updated
01/22/2025
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