Healthcare Provider Details

I. General information

NPI: 1306567664
Provider Name (Legal Business Name): ERIN DILLE GRABEIN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6560 FANNIN ST STE 1404
HOUSTON TX
77030-2706
US

IV. Provider business mailing address

21814 KATY FWY
KATY TX
77449-8019
US

V. Phone/Fax

Practice location:
  • Phone: 713-790-0600
  • Fax:
Mailing address:
  • Phone: 931-787-5110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9116391
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: