Growcock, Gerald W.
Growcock, Gerald W. is an individual health care provider with primary practice located at 8401 Datapoint Dr Ste 600 , San Antonio TX 78229-5907. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Growcock, Gerald W. can be contacted via phone (210) 616-7700.Contact Information
Primary practice address
8401 Datapoint Dr Ste 600
San Antonio TX 78229-5907
Phone: (210) 616-7700
Fax: (210) 616-7709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | E2588 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | E2588 | Texas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | E2588 | Texas |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | E2588 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E2588 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | E2588 | Texas |
Profile Details
| NPI number | 1699751404 |
|---|---|
| LBN Legal business name | Growcock, Gerald W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 26th, 2010 - about 14 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 | 1699751404 | NPPES |
| Texas | MEDICAID | 1359549-09 | |
| Texas | Other | 1359549-10 | |
| Texas | Other | 8L26767 |
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