| Little Gray Rose LLC | |
|
3507 Warwick River Trl Porter TX 77365-7358 | |
| (832) 800-3879 | |
| Not Available |
| Full Name | Little Gray Rose LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3507 Warwick River Trl, Porter, Texas |
| Authorized Official Name and Position | Bianca St Julian (CO-FOUNDER/OWNER) |
| Authorized Official Contact | 8323055670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Gray Rose LLC 3507 Warwick River Trl Porter TX 77365-7358 Ph: (832) 800-3879 | Little Gray Rose LLC 3507 Warwick River Trl Porter TX 77365-7358 Ph: (832) 800-3879 |
| NPI Number | 1114821238 |
|---|---|
| Provider Enumeration Date | 10/03/2026 |
| Last Update Date | 10/03/2026 |
| Certification Date | 10/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114821238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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