Grossman, Maurice S
Grossman, Maurice S is an sole proprietor health care provider with primary practice located at 1001 Louisiana Ave Suite 307, Corpus Christi TX 78404-2899. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Grossman, Maurice S can be contacted via phone (361) 853-7301.Contact Information
Primary practice address
1001 Louisiana Ave Suite 307
Corpus Christi TX 78404-2899
Phone: (361) 853-7301
Fax: (361) 853-0835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | C3062 | Texas |
Profile Details
| NPI number | 1750381075 |
|---|---|
| LBN Legal business name | Grossman, Maurice S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 29th, 2008 - about 17 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 | 1750381075 | NPPES |
| Texas | MEDICAID | 0312837-01 | |
| Texas | Other | 74-1835563 |
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