Individual
MR. ANDRE JOHN GREMILLION SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MES
Contact information
Practice address
182 BRANDONS WAY, BUDA, TX 78610-4959
(512) 608-7733
Mailing address
1033 LA POSADA DR, SUITE 308, AUSTIN, TX 78752-3842
(512) 284-7192
(512) 284-7203
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
8AG13-10
TX
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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