Granaghan, John T

Granaghan, John T is an individual health care provider with primary practice located at 4235 Southwest Blvd , San Angelo TX 76904-5635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Granaghan, John T can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
4235 Southwest Blvd San Angelo TX 76904-5635
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E8518 Texas

Profile Details

NPI number 1083676787
LBN Legal business name Granaghan, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 3rd, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083676787 NPPES
Texas MEDICAID 102667603
Texas Other 8P1401
Texas Other E8518

Popular Providers