Grace ER, PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

160072 Issued in TX

Legal business name

GRACE ER, PA

Practice address

10900 Gulf Fwy
#B102
Houston, TX 77034-2580

Phone

(713) 947-2232

NPI assigned

Jun 14, 2013

Last updated

Jun 30, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ayo Ayodeji Ajim, MDNPI 1255378592

Title

Ceo

Phone

(281) 773-2758

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayo Ayodeji Ajim, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1255378592
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1215375043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 WILD RIVER DRIVE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062488",
            "telephone_number": "281-773-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 GULF FWY",
            "address_2": "#B102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770342580",
            "telephone_number": "713-947-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "AJIM",
        "authorized_official_first_name": "AYO",
        "authorized_official_middle_name": "AYODEJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-773-2758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "160072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Care
• Grace Clinic
• Grace Clinic
• Grace Driven Transportation
• Grace Emergency Room, LLC
• Grace Extended Residential Assisted Living
• Grace Grace Durable Medical Equipment and Supplies. LLC
• Grace Healthcare Services Inc
• Grace Individual and Family Counseling Services Inc
• Grace Life Services LLC

• Emergency Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.