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Individual

ALEXANDER GRUMBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2231 PEGGY LN, SUITE 1, GARLAND, TX 75042-5708
(972) 272-3502
(972) 205-0544
Mailing address
2231 PEGGY LN, SUITE 1, GARLAND, TX 75042-5708
(972) 272-3502
(972) 205-0544

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F8498
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00TV42
BCBS
TX
Enumeration date
09/13/2005
Last updated
07/08/2007
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