Individual provider · Type 1 NPI

Mary Elizabeth Peters Gronberg, MS

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1457052458 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7321

Call (214) 648-3111 Map

Mailing address

3358 Mcmahon Way
Missouri City, TX 77459-6391

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457052458

Mary Elizabeth Peters Gronberg, MS's National Provider Identifier is 1457052458, issued on Mar 15, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Mar 15, 2023.