MEDICARE: SHARNJIT GREWAL

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
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1164988	OTHER	TX	LICENSE #

General Provider Information

NPI Number	:	1467562967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARNJIT GREWAL

Provider Business Mailing Address
First Line	:	8629 WYNDHAM VILLAGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-1143
Country	:	US
Telephone Number	:	281-477-6564
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 POST OAK BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-3004
Country	:	US
Telephone Number	:	713-840-0825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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Directions to “ SHARNJIT GREWAL ” Practice Location

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