Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | S4772 | TX |
NPI | 1275988651 |
---|---|
Provider Name | Astrid Grouls |
First Address | Houston, TX 77005-1219 |
Second Address | Houston, TX 77030-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2016 |
Last Update Date | 08/07/2020 |