Provider Demographics
NPI:1720585441
Name:GROUNDS, JOHN FORBES
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FORBES
Last Name:GROUNDS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 CLEVELAND ST APT 1205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-5249
Mailing Address - Country:US
Mailing Address - Phone:281-910-4457
Mailing Address - Fax:
Practice Address - Street 1:17024 BUTTE CREEK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2347
Practice Address - Country:US
Practice Address - Phone:713-588-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor