| Tanya R. Grun, M.d., P.a. | |
|
652 N Houston Ave Ste 2 New Braunfels TX 78130-4123 | |
| (830) 279-7690 | |
| (830) 625-0353 |
| Full Name | Tanya R. Grun, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 652 N Houston Ave Ste 2, New Braunfels, Texas |
| Authorized Official Name and Position | Tanya R. Grun (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8302797690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya R. Grun, M.d., P.a. 301 Main Plz # 330 New Braunfels TX 78130-5136 Ph: (830) 279-7690 | Tanya R. Grun, M.d., P.a. 652 N Houston Ave Ste 2 New Braunfels TX 78130-4123 Ph: (830) 279-7690 |
| NPI Number | 1922240563 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 0042369027 |
|---|---|
| Medicare Enrollment ID | O20090521000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922240563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8093 (Texas) | Primary |
| Provider Name | Tanya R Grun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023091014 PECOS PAC ID: 4587741053 Enrollment ID: I20080408000507 |
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