| Shirley N Gruen Ph D P C | |
|
101 Southwestern Blvd Suite 109 Sugar Land TX 77478-3548 | |
| (281) 491-5250 | |
| (281) 242-0707 |
| Full Name | Shirley N Gruen Ph D P C |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 Southwestern Blvd, Sugar Land, Texas |
| Authorized Official Name and Position | Shirley N Gruen (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2814915250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley N Gruen Ph D P C 25227 Shadowmere Ln Katy TX 77494-6491 Ph: (281) 491-5250 | Shirley N Gruen Ph D P C 101 Southwestern Blvd Suite 109 Sugar Land TX 77478-3548 Ph: (281) 491-5250 |
| NPI Number | 1508023474 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508023474 | NPI | - | NPPES |
| 0986101-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 21926 (Texas) | Primary |
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