Provider Demographics
NPI:1316929649
Name:GRABOWSKI, RONALD JEROME (DC, RD)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JEROME
Last Name:GRABOWSKI
Suffix:
Gender:M
Credentials:DC, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11777 KATY FWY STE 460S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1785
Mailing Address - Country:US
Mailing Address - Phone:281-497-7070
Mailing Address - Fax:281-497-7077
Practice Address - Street 1:11777 KATY FWY STE 460S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1785
Practice Address - Country:US
Practice Address - Phone:281-497-7070
Practice Address - Fax:281-497-7077
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5260111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88H222Medicare PIN