Christine Grohs Agerlid
Nurse Practitioner - Pediatrics
2222 Welborn St
Dallas
, Texas 75219-3924
Christine Grohs Agerlid
Nurse Practitioner - Pediatrics
2222 Welborn St
Dallas
, Texas 75219-3924
(954) 232-4666
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Christine Grohs Agerlid
- 2222 Welborn St
- Dallas, TX
- Zip : 75219-3924
- Phone : (954) 232-4666
Second Address
- Christine Grohs Agerlid
- 2222 Welborn St
- Dallas, TX
- Zip : 75219-3924
- Fax : (214) 443-7309
- Phone : (214) 559-5000
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Is Christine Grohs Agerlid a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0200X | Nurse Practitioner - Pediatrics | 763423 | TX |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP143135 | TX |
National Provider Identifier
| NPI | 1033767611 |
|---|---|
| Provider Name | Christine Grohs Agerlid |
| First Address | Dallas, TX 75219-3924 |
| Second Address | Dallas, TX 75219-3924 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2019 |
| Last Update Date | 17/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.