Individual
DR. GLORIA RODARTE BRUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5604 WESLEY ST, STE. 101, GREENVILLE, TX 75402-6326
(903) 454-9404
(903) 454-2129
Mailing address
5604 WESLEY ST, STE. 101, GREENVILLE, TX 75402-6326
(903) 454-9404
(903) 454-2129
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
J6890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356321-01
—
TX
01
—
162037
VALUE OPTIONS
TX
Enumeration date
03/07/2007
Last updated
06/24/2024
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