Granberry, William Malcolm

Granberry, William Malcolm is an individual health care provider with primary practice located at 6624 Fannin St Suite 2600, Houston TX 77030-2312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Granberry, William Malcolm can be contacted via phone (713) 790-1818.

Contact Information

Primary practice address
6624 Fannin St Suite 2600 Houston TX 77030-2312
Phone: (713) 790-1818
Fax: (713) 790-7500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X H2412 Texas
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X H2412 Texas

Profile Details

NPI number 1134162605
LBN Legal business name Granberry, William Malcolm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 14th, 2015 - about 10 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 1134162605 NPPES
Texas Other 4105814 AETNA/US HEALTHCARE
Texas Other 741660214 AETNA/US HEALTHCARE
Texas Other 200016150 AETNA/US HEALTHCARE
Texas Other 6570151 AETNA/US HEALTHCARE
Texas MEDICAID 1371569-05 AETNA/US HEALTHCARE
Texas Other 843087 AETNA/US HEALTHCARE

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