Individual
ANDRA KERLEY GRUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9203 WILLOWBRIDGE PARK BLVD, HOUSTON, TX 77064-6304
(281) 517-6800
Mailing address
2919 RIATA LN, HOUSTON, TX 77043-1313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609917541
—
TX
Enumeration date
09/22/2022
Last updated
09/22/2022
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