Larry A. Grissom in Houston - Diagnostic Radiology
Larry A. Grissom - NPI 1164400644
Larry A. Grissom is a Diagnostic Radiology in Houston, Texas. Larry A. Grissom practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Larry A. Grissom is 1164400644. The last update date is 2008-07-29.
Larry A. Grissom's current location address is 800 Peakwood Dr, Houston, Texas. You can contact this provider via phone number 2814405158 and fax number 2814408549. The mailing address for Larry A. Grissom is 800 Peakwood Dr, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry A. Grissom |
|---|---|
| Address | 800 Peakwood Dr, Houston, Texas |
| Phone Number | 2814405158 |
| Fax Number | 2814408549 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164400644 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 800 Peakwood Dr |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770902900 |
| Phone Number | 2814405158 |
| Fax Number | 2814408549 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | F1605 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1253874-03 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry A. Grissom by the Centers for Medicare & Medicaid Services?
The Larry A. Grissom has been assigned the NPI (National Provider Identifier) 1164400644. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Larry A. Grissom is geographically located?
The Larry A. Grissom is physically situated at the following location: 800 Peakwood Dr, Houston, TX, 770902900.
What is the Larry A. Grissom's area of specialization and corresponding taxonomy classification?
The Larry A. Grissom's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1164400644 to Larry A. Grissom?
The Larry A. Grissom received its 1164400644 assignment from the Centers for Medicare & Medicaid Services on 2006-01-05.
When was the Larry A. Grissom's information last updated?
The Larry A. Grissom's information was last updated on 2008-07-29.
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