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Individual
LORETTA GRUMBLES
Active
Individual
LORETTA GRUMBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L0227
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
L0227
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
L0227
TX
Other
Enumeration date
12/08/2006
Last updated
04/12/2023
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