Individual
MS. GRETTA FREYERMUTH LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1004 W 32ND ST STE 100, AUSTIN, TX 78705-1915
(512) 324-3410
(512) 324-3409
Mailing address
1004 W 32ND ST STE 100, AUSTIN, TX 78705-1915
(512) 324-3410
(512) 324-3409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA180594
OR
363AM0700X
Medical Physician Assistant
Primary
PA17342
TX
Other
Enumeration date
11/09/2016
Last updated
02/20/2026
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