Granado, Elma

Granado, Elma is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Granado, Elma can be contacted via phone (817) 927-3638.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 927-3638
Fax: (817) 923-8769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X G9744 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G9744 Texas

Profile Details

NPI number 1215980644
LBN Legal business name Granado, Elma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Sep 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215980644 NPPES
Texas Other P00600823 RAILROAD MEDICARE
Texas MEDICAID 124188706 RAILROAD MEDICARE
Texas Other 8U1294 RAILROAD MEDICARE

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