Individual
BRENDA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 MEDICAL PKWY STE 207, AUSTIN, TX 78756-3725
(512) 814-7635
Mailing address
4105 MEDICAL PKWY STE 207, AUSTIN, TX 78756-3725
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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