Individual
GRACE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5831 LE CARPE PLANTATION CT, KATY, TX 77449-5373
(832) 687-0486
(713) 929-3572
Mailing address
6130 IRON ROCK ST, HOUSTON, TX 77087-3228
(832) 687-0486
(713) 929-3572
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862043361
—
TX
Enumeration date
03/11/2021
Last updated
03/11/2021
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