Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | H8088 | TX |
NPI | 1144278516 |
---|---|
Provider Name | Dr. Adrian Gresores |
First Address | Spring, TX 77379-7748 |
Second Address | Spring, TX 77379-7748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 06/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
061209503 | (05) | TX |
F49511 | (02) |