| Granberry Medical Care, Pllc | |
|
900 Granberry St Humble TX 77338-4757 | |
| (281) 973-8049 | |
| (281) 570-2943 |
| Full Name | Granberry Medical Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Granberry St, Humble, Texas |
| Authorized Official Name and Position | Raul Guillermo Lopez Valle (OWNER/STAFF PHYSICIAN) |
| Authorized Official Contact | 2819738049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granberry Medical Care, Pllc 900 Granberry St Humble TX 77338-4757 Ph: (281) 973-8049 | Granberry Medical Care, Pllc 900 Granberry St Humble TX 77338-4757 Ph: (281) 973-8049 |
| NPI Number | 1679075493 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 03/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679075493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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