Organization
GRACE ER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYO AYODEJI AJIM MD (CEO)
(281) 773-2758
Entity
Organization
Contact information
Practice address
10900 GULF FWY, #B102, HOUSTON, TX 77034-2580
(713) 947-2232
Mailing address
3319 WILD RIVER DRIVE, RICHMOND, TX 77406-2488
(281) 773-2758
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
160072
TX
Other
Enumeration date
06/14/2013
Last updated
06/30/2023
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