Provider Demographics
NPI:1104148691
Name:GR CURE
Entity type:Organization
Organization Name:GR CURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REDWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-641-8880
Mailing Address - Street 1:1658 W BAKER RD
Mailing Address - Street 2:SUITE# C
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2283
Mailing Address - Country:US
Mailing Address - Phone:281-428-0009
Mailing Address - Fax:832-695-0005
Practice Address - Street 1:1658 W BAKER RD
Practice Address - Street 2:SUITE# C
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2283
Practice Address - Country:US
Practice Address - Phone:281-428-0009
Practice Address - Fax:832-695-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148446Medicaid