Gerald W. Growcock in San Antonio - Diagnostic Ultrasound

Gerald W. Growcock - NPI 1699751404

Gerald W. Growcock is a Diagnostic Ultrasound in San Antonio, Texas. Gerald W. Growcock practices all healthcare services and medical treatments related to Diagnostic Ultrasound. 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 Diagnostic Ultrasound
Taxonomy 2085U0001X
Licence No E2588
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1359549-09 TX --
1359549-10 TX MEDICAID - STRIC
8L26767 TX MEDICARE - STRIC

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FAQs about Gerald W. Growcock

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 Diagnostic Ultrasound, and it falls under the taxonomy code 2085U0001X, 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.

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