Individual
MR. GREGG T CARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-3328
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041334403
IL
163WC0200X
Critical Care Medicine Registered Nurse
977246
TX
367500000X
Certified Registered Nurse Anesthetist
209009256
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP144116
TX
Other
Enumeration date
05/14/2007
Last updated
10/04/2022
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