Individual
GERSHWIN BONIAO CRUZABRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
134 ELMHURST STE 100, KYLE, TX 78640-6060
(512) 268-3100
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1193622
TX
Other
Enumeration date
03/04/2025
Last updated
08/05/2025
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