Gerald W. Growcock in San Antonio - Body Imaging
Gerald W. Growcock - NPI 1699751404
Gerald W. Growcock is a Body Imaging in San Antonio, Texas. Gerald W. Growcock practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Gerald W. Growcock is 1699751404. The last update date is 2010-07-26.
Gerald W. Growcock's current location address is P. O. Box 29441, San Antonio, Texas. You can contact this provider via phone number 2106167796 and fax number 2106167799. The mailing address for Gerald W. Growcock is P. O. Box 29441, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gerald W. Growcock |
---|---|
Address | P. O. Box 29441, San Antonio, Texas |
Phone Number | 2106167796 |
Fax Number | 2106167799 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1699751404 |
---|---|
Provider Enumeration Date | 2005-12-22 |
Last Updated Date | 2010-07-26 |
Provider Mailing Address Detail
Address | P. O. Box 29441 |
---|---|
City | San Antonio |
State | Texas (TX) |
Post Code | 782290441 |
Phone Number | 2106167796 |
Fax Number | 2106167799 |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
---|---|
Taxonomy | 2085B0100X |
Licence No | E2588 |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1359549-09 | TX | -- | |
1359549-10 | TX | MEDICAID - STRIC | |
8L26767 | TX | MEDICARE - STRIC |
Post Comment/ Review Below
What is the Gerald W. Growcock's 1699751404?
The Gerald W. Growcock's NPI (National Provider Identifier) Number is 1699751404. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gerald W. Growcock's facilities are geographically located?
The facilities of Gerald W. Growcock are physically situated at the following location: P. O. Box 29441, San Antonio, TX, 782290441.
What is the Gerald W. Growcock's area of specialization and corresponding taxonomy classification?
The Gerald W. Growcock's specialty field is Body Imaging, and it falls under the taxonomy code 2085B0100X, which categorizes healthcare providers based on their specialties.
When did Gerald W. Growcock receive its 1699751404 assignment?
The Gerald W. Growcock was assigned its 1699751404 on 2005-12-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Gerald W. Growcock most recently updated or revised?
The information pertaining to Gerald W. Growcock, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-26.