Grace Medical, PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

GRACE MEDICAL, PA

Practice address

10900 Gulf Fwy Ste B102
Houston, TX 77034-2581

Phone

(713) 947-2232

Fax

(713) 947-2233

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Alice Ajim, MD

Title

Director

Phone

(281) 989-4586

Specialties & licenses 1

Addresses

Other names 1

• Grace ER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayo Ayodeji Ajim, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1255378592

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1689147498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 WILD RIV",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062488",
            "telephone_number": "281-989-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 GULF FWY STE B102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770342581",
            "telephone_number": "713-947-2232",
            "fax_number": "713-947-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Pearland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775815123",
            "country_code": "US",
            "telephone_number": "281-749-1717",
            "fax_number": "281-485-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "AJIM",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-989-4586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace ER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Grace Durable Medical Equipment and Supplies. LLC
• Grace Healthcare Services Inc
• Grace Individual and Family Counseling Services Inc
• Grace Life Services LLC
• Grace Medical Transportation
• Grace Open MRI & Imaging Center, LLC
• Grace Pediatrics and Family Clinic
• Grace Provider Service Inc
• Carolyn Honea Grace, LCSW, DCSW, ACHI
• Joel Grace, MPT

• 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 May 14, 2020; 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.