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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