Individual
GREGORY S. REMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802
(979) 776-0169
(979) 776-1372
Mailing address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3473
(979) 776-0169
(979) 776-1372
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10004798
WA
363AM0700X
Medical Physician Assistant
Primary
PA11207
TX
363AS0400X
Surgical Physician Assistant
PA10004798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374100101
—
TX
Enumeration date
12/29/2006
Last updated
10/02/2018
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