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NPI 1033767611 · live from the CMS NPI Registry

Christine Grohs Agerlid, CPNP-AC

Nurse Practitioner, Pediatrics in Dallas, TX. National Provider Identifier 1033767611, active.

NPI record

NPI1033767611 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1935 Medical District Dr, Dallas, TX 75235
Practice phone214-456-7000
Mailing address5060 Southwestern Medical Ave, Bldg E, Ste B2, Dallas, TX 75235
EnumeratedAugust 28, 2019
Last updatedMay 19, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics, Critical Care363LP0222X763423 (TX)
Nurse Practitioner, Pediatrics primary363LP0200XAP143135 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.