Provider Demographics
NPI:1598905200
Name:STONE-GRINER, E KAREN (MD)
Entity Type:Individual
Prefix:DR
First Name:E
Middle Name:KAREN
Last Name:STONE-GRINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7144
Mailing Address - Country:US
Mailing Address - Phone:713-520-5039
Mailing Address - Fax:
Practice Address - Street 1:5511 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7144
Practice Address - Country:US
Practice Address - Phone:713-520-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8668208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000F11X8Medicaid
TX00F11XOtherBLUECROSS BLUE SHIELD