Organization
KINGWOOD FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STEPHEN GRAYSON DO, FAAFP (PHYSICIAN)
(281) 319-8383
Entity
Organization
Contact information
Practice address
22751 PROFESSIONAL DR, SUITE 1400, KINGWOOD, TX 77339
(281) 319-8383
(281) 319-8384
Mailing address
22751 PROFESSIONAL DR, SUITE 1400, KINGWOOD, TX 77339
(281) 319-8383
(281) 319-8384
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F55555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164252201
—
TX
Enumeration date
07/16/2006
Last updated
12/09/2010
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