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NPI Code Detail

MEDICARE: GROVES ER PHYSICIANS GROUP P A

MEDICARE: GROVES ER PHYSICIANS GROUP P A
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
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295816312
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROVES ER PHYSICIANS GROUP P A
Provider Business Mailing Address
First Line : 14440 JOHN F KENNEDY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77032-5300
Country : US
Telephone Number : 832-886-1900
Fax Number : 281-227-1139
Provider Business Practice Location Address
First Line : 5500 39TH STREET
Second Line :
City : GROVES
State : TX
Zip : 77619-2905
Country : US
Telephone Number : 409-962-5733
Fax Number : 409-963-5388
Authorized Official
Title or Position : CEO
Name : SCOTT KOENIG
Credential : 8328661900
Telephone Number : 832-866-1900
Provider Enumeration Date : 10/17/2006
Last Update Date : 10/17/2008

Similar Medicare Providers

1639172778 — RENAISSANCE HOSPITALS INC
Practice Location Address:
5500 39TH ST
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77619-2905
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1114004686 — RONALD WEINTRAUB M.D.
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Practice Fax:
1164572087 — RONALD A. WEINTRAUB, MD PA
Practice Location Address:
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Practice Fax:
1891999314 — RENAISSANCE HOSPITALS INC
Practice Location Address:
5500 39TH ST
GROVES, TX
77619-2905
Practice Phone: 409-962-5733
Practice Fax: 409-963-5120
1619160827 — MRS. VICKI L LANDRY 1ST ASSISTANT
Practice Location Address:
5500 39TH ST
GROVES, TX
77619-2905
Practice Phone: 409-962-5733
Practice Fax:
1174716450 — MRS. UN SUK GILBERT LSA, CST/FA
Practice Location Address:
5500 39TH STREET
GROVES, TX
77619-2905
Practice Phone: 409-963-5265
Practice Fax: 409-963-1531

Directions to “GROVES ER PHYSICIANS GROUP P A ” Practice Location

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