Individual
CARLA MCGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, CGC
Contact information
Practice address
900 E 30TH ST STE 100, AUSTIN, TX 78705-3378
(512) 505-5500
(512) 334-2702
Mailing address
9715 BURNET RD, BLD. 7, ST 200, AUSTIN, TX 78758-5390
(512) 505-5500
(512) 334-2702
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
Enumeration date
05/25/2017
Last updated
06/11/2019
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