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General NPI Number Information
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NPI Number | 1053832527
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Entity Type | Individual
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Provider Name | JOEY KEVIN GROCHMAL MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 17198 ST LUKES WAY STE 600
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City | THE WOODLANDS
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State | TX
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Zip | 77384-8017
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Country | US
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Telephone | 936-266-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 CAMBRIDGE ST FL 10
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City | HOUSTON
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State | TX
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Zip | 77030-4202
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Country | US
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Telephone | 713-798-1750
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Fax | 713-798-4693
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 67216
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | R8364
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License Number State | TX
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