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NPI Code Detail

MEDICARE: NATALIE GRACE STREET MD

MEDICARE: NATALIE GRACE STREET MD
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
1207R00000XInternal Medicine PhysicianV4509TX

General Provider Information

NPI Number : 1518544204
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE GRACE STREET MD
Provider Business Mailing Address
First Line : 11511 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7298
Country : US
Telephone Number : 713-442-0000
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 713-798-6151
Fax Number : 713-798-8530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2021
Last Update Date : 12/15/2025

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Directions to “ NATALIE GRACE STREET MD” Practice Location

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