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Individual

GREGORY S. GREMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
2004 RALEIGH AVE, AUSTIN, TX 78703-2126
(512) 587-1955

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L2287
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
L2287
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147915601
TX
05
147915602
TX
01
8B7798
BC/BS
TX
Enumeration date
05/24/2006
Last updated
05/13/2010
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