# GRACE EMERGENCY ROOM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538508635
- **Authorized official:** DR. ALICE AMAH AJIM MD (DIRECTOR)
- **Authorized official phone:** (281) 989-4586

## Contact information

- **Practice address:** 10900 GULF FWY, \#B102, HOUSTON, TX 77034-2580
- **Practice address phone:** (713) 947-2232
- **Mailing address:** 3319 WILD RIVER DRIVE, RICHMOND, TX 77406
- **Mailing address phone:** (281) 773-2758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 06/03/2025