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NPI Code Detail

MEDICARE: DR. NELLIE POH-KEE GROSE M.D.

MEDICARE: DR. NELLIE POH-KEE GROSE M.D.
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
1207Q00000XFamily Medicine PhysicianE3293TX

General Provider Information

NPI Number : 1245391374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NELLIE POH-KEE GROSE M.D.
Provider Business Mailing Address
First Line : 230 WESTCOTT ST
Second Line : #208
City : HOUSTON
State : TX
Zip : 77007-7094
Country : US
Telephone Number : 713-660-6620
Fax Number : 713-660-8595
Provider Business Practice Location Address
First Line : 230 WESTCOTT ST
Second Line : #208
City : HOUSTON
State : TX
Zip : 77007-7094
Country : US
Telephone Number : 713-660-6620
Fax Number : 713-660-8595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/08/2007

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