Healthcare Provider Details

I. General information

NPI: 1265366777
Provider Name (Legal Business Name): DARLA GROPP
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5591 FAIRMONT PKWY
PASADENA TX
77505-3807
US

IV. Provider business mailing address

18811 WOODBREEZE DR
HUMBLE TX
77346-5113
US

V. Phone/Fax

Practice location:
  • Phone: 281-487-0948
  • Fax:
Mailing address:
  • Phone: 281-818-7964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11671
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: