Grindstaff, Gary S
Grindstaff, Gary S is an individual health care provider with primary practice located at 1721A N Lee Trevino Dr Ste 103 , El Paso TX 79936-4521. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Grindstaff, Gary S can be contacted via phone (915) 845-5000.Contact Information
Primary practice address
1721A N Lee Trevino Dr Ste 103
El Paso TX 79936-4521
Phone: (915) 845-5000
Fax: (915) 845-5003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1465 | Texas |
Profile Details
| NPI number | 1912995895 |
|---|---|
| LBN Legal business name | Grindstaff, Gary S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Nov 15th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912995895 | NPPES |
| Other | 4508290001 | PALMETTO | |
| MEDICAID | 092741002 | PALMETTO |
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