Individual
MRS. MARY THERESA GREMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
1401 S BUCKNER BLVD STE 139, DALLAS, TX 75217-1704
(469) 488-4400
(469) 488-4401
Mailing address
1401 S BUCKNER BLVD STE 139, DALLAS, TX 75217-1704
(469) 488-4400
(469) 488-4401
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
705520
TX
Other
Enumeration date
08/05/2010
Last updated
03/17/2014
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