Provider Demographics
NPI:1265796130
Name:GRUENEBAUM, DANE DAVID (DO)
Entity type:Individual
Prefix:DR
First Name:DANE
Middle Name:DAVID
Last Name:GRUENEBAUM
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3730 KIRBY DR STE 1200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3985
Mailing Address - Country:US
Mailing Address - Phone:281-888-8999
Mailing Address - Fax:281-305-4054
Practice Address - Street 1:2800 W TRENTON RD STE 2868
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9232
Practice Address - Country:US
Practice Address - Phone:281-888-8999
Practice Address - Fax:281-305-4054
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2023-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ4412207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease