Individual provider · Type 1 NPI

Gretta Freyermuth Lundgren, PA-C

Medical Physician Assistant · Austin, TX

NPI number 1598207409 Active

Practice location

1004 W 32nd St Ste 100
Austin, TX 78705-1915

Call (512) 324-3410 Map

Fax (512) 324-3409

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA180594 (OR)
Medical Physician Assistant Primary 363AM0700XPA17342 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1598207409

Gretta Freyermuth Lundgren, PA-C's National Provider Identifier is 1598207409, issued on Nov 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Austin, TX. The record was last updated on Feb 20, 2026.