Grace Ann Larew, DO
General Practice in Jbsa Ft Sam Houston, TX. Individual provider (NPI-1).
NPI number1033960596
StatusActive
Last updated in NPPESDec 17, 2025
Details
- NPI
- 1033960596
- Entity type
- Individual (NPI-1)
- Name
- Grace Ann Larew
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2024
- Certification date
- Dec 17, 2025
- Last updated
- Dec 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | DO-55530 | IA | Yes |
Practice location
3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone 210-292-3410 · Fax 210-292-7868
Mailing address
3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone 210-292-3410 · Fax 210-292-7868
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