GLORIA RODARTE BRUN M. D. P. A. NPI 1255462917

NPI Information

NPI: 1255462917
Provider Name: GLORIA RODARTE BRUN, M. D., P. A.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
5604 WESLEY ST
STE. 101
GREENVILLE, TX
ZIP 75402
Phone: (903) 454-9404
Get Directions

GLORIA RODARTE BRUN, M. D., P. A. is a child and adolescent psychiatry psychiatry neurology in Greenville, TX. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. GLORIA RODARTE BRUN, M. D., P. A. NPI is 1255462917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5604 WESLEY ST
STE. 101
GREENVILLE, TX
ZIP 75402-326
Phone: (903) 454-9404
Fax: (903) 454-2129

The provider's authorized official is Gloria Rodarte Brun .
The authorized official title is President and has the following contact phone number (903) 454-9404.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 9/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	J6890	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0356321-01	MEDICAID	TEXAS
2	00R62B	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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