Grossman, Stanley J
Grossman, Stanley J is an individual health care provider with primary practice located at 3500 Gaston Ave , Dallas TX 75246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Grossman, Stanley J can be contacted via phone (214) 826-8822.Contact Information
Primary practice address
3500 Gaston Ave
Dallas TX 75246
Phone: (214) 826-8822
Fax: (214) 826-9792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | K0791 | Texas |
Profile Details
| NPI number | 1750335527 |
|---|---|
| LBN Legal business name | Grossman, Stanley J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 16th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750335527 | NPPES |
| Texas | MEDICAID | 129567707 | |
| Texas | MEDICAID | 129567706 | |
| Texas | MEDICAID | 129567709 |
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