MRS. MARY THERESA GREMP PNP-BC NPI 1457665176

NPI Information

  • NPI: 1457665176
  • Provider Name: MRS. MARY THERESA GREMP, PNP-BC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1401 S BUCKNER BLVD STE 139
    DALLAS, TX
    ZIP 75217
  • Phone: (469) 488-4400

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NPI Details

MRS. Mary Theresa Gremp, PNP-BC is a pediatrics nurse practitioner in Dallas, TX. MRS. Mary Theresa Gremp, PNP-BC NPI is 1457665176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1401 S BUCKNER BLVD STE 139
DALLAS, TX
ZIP 75217-704
Phone: (469) 488-4400
Fax: (469) 488-4401

The NPI 1457665176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2010 and was last updated on 3/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics705520TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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