Provider Demographics
NPI:1558631226
Name:GRIMSLEY, ALEJANDRA RODRIGUEZ (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:ALEJANDRA
Middle Name:RODRIGUEZ
Last Name:GRIMSLEY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 GREENWAY PLZ
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046-0297
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:281-207-2200
Practice Address - Street 1:6651 MAIN ST STE F1500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-797-1144
Practice Address - Fax:832-825-7778
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX744432363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX744432OtherNURSE PRACTITIONER CERTIFICATION NUMBER