Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 1349426 | TX |
NPI | 1063189827 |
---|---|
Provider Name | Karli Renee Gerwig |
First Address | Houston, TX 77019-3401 |
Second Address | Houston, TX 77019-3401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2021 |
Last Update Date | 05/11/2021 |