| Doctor Name: | MR. ANDRE JOHN GREMILLION |
| NPI Number: | 1710205620 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MES |
| License Number: | 8AG13-10 |
| Business Practice Address: | 182 Brandons Way Buda, TX - 786104959 |
| Business Phone Number: | 5126087733 |
| Business Fax Number: | |
| Mailing Address: | 1033 La Posada Dr, Suite 308 AUSTIN |
| State: | TX |
| Postal Code: | 787523842 |
| Phone Number: | 5122847192 |
| Fax Number: | 5122847203 |
| NPI Enumeration Date: | 05/17/2010 |
| NPI Last Update Date: | 05/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | 8AG13-10 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |