| Grumbles Geriatric Home Visits Program, Pllc | |
|
1908 Post Office St Galveston TX 77550-2008 | |
| (409) 682-3863 | |
| Not Available |
| Full Name | Grumbles Geriatric Home Visits Program, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1908 Post Office St, Galveston, Texas |
| Authorized Official Name and Position | Loretta Grumbles (ADMINISSTRATOR) |
| Authorized Official Contact | 4096823863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grumbles Geriatric Home Visits Program, Pllc Po Box 2283 Sugar Land TX 77487-2283 Ph: (409) 682-3863 | Grumbles Geriatric Home Visits Program, Pllc 1908 Post Office St Galveston TX 77550-2008 Ph: (409) 682-3863 |
| NPI Number | 1154076438 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 2264819572 |
|---|---|
| Medicare Enrollment ID | O20220506000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154076438 | NPI | - | NPPES |
| Provider Name | Loretta Grumbles |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760541304 PECOS PAC ID: 6709801319 Enrollment ID: I20051012001198 |
| Provider Name | Pamela Louise Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043532344 PECOS PAC ID: 0547398075 Enrollment ID: I20100504000652 |
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