Provider Demographics
NPI:1740262377
Name:GRUEN, SHERYL ROBIN (MD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ROBIN
Last Name:GRUEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:G
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:207 W AVENUE E
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-1820
Mailing Address - Country:US
Mailing Address - Phone:512-556-3621
Mailing Address - Fax:512-556-6594
Practice Address - Street 1:187 PR 4060
Practice Address - Street 2:
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550-4071
Practice Address - Country:US
Practice Address - Phone:512-556-3621
Practice Address - Fax:512-556-6594
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1208207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080149516OtherMEDICARE RAILRAOD
TX104526202Medicaid
109720102OtherFIRST CARE
TX119123OtherSUPERIOR
TX99427OtherSCOTT & WHITE
TX84951GOtherBLUE CROSS/BLUE SHIELD
TX104526202Medicaid
TX8541K1Medicare PIN