Organization
GPK PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GUDRUN P COBB CPNP (OWNER)
(512) 989-3334
Entity
Organization
Contact information
Practice address
103 S 12TH ST, STE 101, PFLUGERVILLE, TX 78660-3960
(512) 989-3334
(512) 989-3390
Mailing address
103 S 12TH ST, STE 101, PFLUGERVILLE, TX 78660-3960
(512) 989-3334
(512) 989-3390
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
680265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290264501
—
TX
Enumeration date
06/15/2012
Last updated
06/15/2012
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