1114198595 NPI number — JULIENNE HARO GRENIER M.A., CCC/A

Table of content: JULIENNE HARO GRENIER M.A., CCC/A (NPI 1114198595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114198595 NPI number — JULIENNE HARO GRENIER M.A., CCC/A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GRENIER
Provider First Name:
JULIENNE
Provider Middle Name:
HARO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.A., CCC/A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARO
Provider Other First Name:
JULIENNE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1114198595
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10740 N GESSNER DR
Provider Second Line Business Mailing Address:
STE 310
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77064-1240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-897-0416
Provider Business Mailing Address Fax Number:
281-890-8908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7908 N SAM HOUSTON PKWY W
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77064-3508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-897-0416
Provider Business Practice Location Address Fax Number:
281-890-8908
Provider Enumeration Date:
03/13/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  51722 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X , with the licence number: 51722 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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