Organization
GROVES ER PHYSICIANS GROUP P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KOENIG 8328661900 (CEO)
(832) 866-1900
Entity
Organization
Contact information
Practice address
5500 39TH STREET, GROVES, TX 77619-2905
(409) 962-5733
(409) 963-5388
Mailing address
14440 JOHN F KENNEDY BLVD, HOUSTON, TX 77032-5300
(832) 886-1900
(281) 227-1139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166546501
—
TX
05
—
166546502
—
TX
05
—
166546503
—
TX
Enumeration date
10/17/2006
Last updated
10/17/2008
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