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Organization

GRANBERRY MEDICAL CARE, PLLC

Active
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Organization

GRANBERRY MEDICAL CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAUL GUILLERMO LOPEZ VALLE MD (OWNER/STAFF PHYSICIAN)
(281) 973-8049
Entity
Organization

Contact information

Practice address
900 GRANBERRY ST, HUMBLE, TX 77338-4757
(281) 973-8049
(281) 570-2943
Mailing address
900 GRANBERRY ST, HUMBLE, TX 77338-4757
(281) 973-8049
(281) 973-8049

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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