Individual
GERSHWIN BONIAO CRUZABRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
164 BELTERRA VILLAGE WAY STE X200, AUSTIN, TX 78737-4794
(512) 596-0595
Mailing address
164 BELTERRA VILLAGE WAY STE X200, AUSTIN, TX 78737-4794
(512) 596-0595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1193622
TX
Other
Enumeration date
03/04/2025
Last updated
06/08/2026
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