Individual
DR. ANDREW JENSEN GROBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-7078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G-616-067-398-042
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101257524
VA
Other
Enumeration date
07/02/2013
Last updated
08/10/2023
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