MEDICARE: SHROUT-GREGORIO MEDICAL SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417992827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHROUT-GREGORIO MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	13402 CORINTHIAN POINTE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-2258
Country	:	US
Telephone Number	:	713-283-5354
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 BISSONNET ST
Second Line	:	SUITE 490
City	:	HOUSTON
State	:	TX
Zip	:	77074-3900
Country	:	US
Telephone Number	:	713-283-5354
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ANITA DAWN SHROUT
Credential	:	PA-C
Telephone Number	:	713-283-5354

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	08/22/2020

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