Organization
GRMNM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
10730 POTRANCO RD, STE 122 #195, SAN ANTONIO, TX 78251-3330
(210) 714-5504
Mailing address
10730 POTRANCO RD, STE 122 #195, SAN ANTONIO, TX 78251-3330
(210) 714-5504
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
07/21/2022
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