NPI 1063502912 · live from the CMS NPI Registry
Wendell A Grogan, MD
Psychiatry & Neurology, Neurology in Kingwood, TX. National Provider Identifier 1063502912, active.
NPI record
| NPI | 1063502912 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 22999 Highway 59 N Ste 416, Kingwood, TX 77339 |
| Practice phone | 281-359-5981 |
| Mailing address | Po Box 9547, Belfast, ME 04915 |
| Enumerated | October 13, 2006 |
| Last updated | September 28, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Sleep Medicine | 2084S0012X | M0740 (TX) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | M0740 (TX) |
| 2084N0600X | M0740 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.