Grun, Tanya Renee

Grun, Tanya Renee is an sole proprietor health care provider with primary practice located at 652 N Houston Ave Ste 2 , New Braunfels TX 78130-4123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grun, Tanya Renee can be contacted via phone (830) 620-7744.

Contact Information

Primary practice address
652 N Houston Ave Ste 2 New Braunfels TX 78130-4123
Phone: (830) 620-7744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H8093 Texas

Profile Details

NPI number 1023091014
LBN Legal business name Grun, Tanya Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Jun 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023091014 NPPES
Texas Other 8F7698 INDIVIDUAL PTAN #
Texas Other 8F21450 INDIVIDUAL PTAN #
Texas Other OOY940 INDIVIDUAL PTAN #
Texas MEDICAID 135125609 INDIVIDUAL PTAN #

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