Whalio Doctors

NPI 1689395212

Michael H Gremillion, MHPSRSPS

Practitioner Peer Specialist Killeen, TX

Practice location

Address
4312 Matt Dr, Killeen, TX 76549-4779
Phone
(409) 466-9888
Mailing address
PO Box 690914, Killeen, TX 76549-0016

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence 1533-11 (TX)

Registry record

NPI
1689395212
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Sep 2022
Record last updated
12 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.