Provider Demographics
NPI:1417992827
Name:SHROUT-GREGORIO MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:SHROUT-GREGORIO MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SHROUT
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:713-283-5354
Mailing Address - Street 1:13402 CORINTHIAN POINTE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-2258
Mailing Address - Country:US
Mailing Address - Phone:713-283-5354
Mailing Address - Fax:
Practice Address - Street 1:8300 BISSONNET ST
Practice Address - Street 2:SUITE 490
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3900
Practice Address - Country:US
Practice Address - Phone:713-283-5354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health