Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2037901 | TX |
NPI | 1013100999 |
---|---|
Provider Name | Mr. Andrew Eugene Gromek |
First Address | Houston, TX 77090-2618 |
Second Address | Houston, TX 77090-2618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2007 |
Last Update Date | 23/08/2007 |