GRACE ER, PA
Osteopathic Medicine at Gulf Fwy, Houston, TX

License number
Texas 160072
Category
Osteopathic Medicine
Type
Emergency Medicine
Owner
Name: DR. AYO AYODEJI AJIM MD
Title: CEO
Phone: (281) 773-2758
Address
Address 2
10900 Gulf Fwy #B102, Houston, TX 77034
3319 Wild River Dr, Richmond, TX 77406
National Provider ID: 1215375043
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRACE ER PA

3319 Wild Riv, Richmond, TX 77406

Doing business as:
Grace Er PA<br>R & L Health & Weight Management PA
Registration:
Sep 20, 2011
State ID:
0801481776
Business type:
Professional Association
Director, Member, Secretarys:
Ayo A. Ajim (Director, Member, President),Alice Ajim (Director, Member, Secretary)
TIN:
32045095216

Grace Er PA

10900 Gulf Fwy, Houston, TX 77034

Status:
Inactive
Industry:
Nonclassifiable Establishments

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