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NPI Code Detail

MEDICARE: DR. GRACE CHITA ODI M.D.

MEDICARE:  DR. GRACE CHITA ODI  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
1208M00000XHospitalist PhysicianQ0988TX
2207R00000XInternal Medicine PhysicianQ0988TX

General Provider Information

NPI Number : 1922398528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRACE CHITA ODI M.D.
Provider Business Mailing Address
First Line : 909 FROSTWOOD DR STE 1.100
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2301
Country : US
Telephone Number : 713-338-6353
Fax Number : 713-704-3086
Provider Business Practice Location Address
First Line : 3525 W HOLCOMBE BLVD FL 1
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1313
Country : US
Telephone Number : 713-814-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2011
Last Update Date : 11/25/2025

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Directions to “ DR. GRACE CHITA ODI M.D.” Practice Location

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