Individual
DR. ALFREDO F. GURMENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4211 JOE RAMSEY BLVD E STE 100, GREENVILLE, TX 75401
(903) 408-7730
(903) 408-7739
Mailing address
4351 E. LOHMAN AVENUE, SUITE 200, LAS CRUCES, NM 88011
(575) 556-1581
(575) 556-1583
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L2294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39020223
—
NM
01
—
NMA100556
MEDICARE PTAN
NM
Enumeration date
08/02/2005
Last updated
08/07/2018
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