Gronstedt, Gary J.

Gronstedt, Gary J. is an individual health care provider with primary practice located at 3501 Mills Ave , Austin TX 78731-6309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gronstedt, Gary J. can be contacted via phone (512) 324-2080.

Contact Information

Primary practice address
3501 Mills Ave Austin TX 78731-6309
Phone: (512) 324-2080
Fax: (512) 324-2084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X P3335 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X P3335 Texas

Profile Details

NPI number 1780688531
LBN Legal business name Gronstedt, Gary J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 20th, 2012 - about 13 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 1780688531 NPPES
Texas MEDICAID 305557601

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