Individual provider · NPI-1

Christine Grohs Agerlid, CPNP-AC

Nurse Practitioner, Pediatrics · Dallas, TX

NPI number1033767611
StatusActive
Last updated in NPPESMay 19, 2025

Details

NPI
1033767611
Entity type
Individual (NPI-1)
Name
Christine Grohs Agerlid
Credential
CPNP-AC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2019
Certification date
May 19, 2025
Last updated
May 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAP143135TXYes
363LP0222X Nurse Practitioner, Pediatrics, Critical Care763423TX

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Phone 214-456-7000

Mailing address

5060 Southwestern Medical Ave
Bldg E, Ste B2
Dallas, TX 75235

Phone 214-456-5100

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