Organization
GRUMBLES GERIATRIC HOME VISITS PROGRAM, PLLC
Active
Organization
GRUMBLES GERIATRIC HOME VISITS PROGRAM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA GRUMBLES MD (ADMINISSTRATOR)
(409) 682-3863
Entity
Organization
Contact information
Practice address
1908 POST OFFICE ST, GALVESTON, TX 77550-2008
(409) 682-3863
Mailing address
PO BOX 2283, SUGAR LAND, TX 77487-2283
(409) 682-3863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
10/05/2022
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