Provider Demographics
NPI:1245232230
Name:GROVER, TINA (MD)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:GROVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11914 ASTORIA BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6077
Mailing Address - Country:US
Mailing Address - Phone:281-484-7619
Mailing Address - Fax:281-484-7632
Practice Address - Street 1:11914 ASTORIA BLVD STE 450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6077
Practice Address - Country:US
Practice Address - Phone:281-484-7619
Practice Address - Fax:281-484-7632
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK0483208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics