NPI Profile for RICHARD C GROSSMAN DO PA in COLLEYVILLE, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Facial Plastic Surgery |
207YS0123X | 04 | Physician/Otolaryngology | |
Allergy & Immunology |
207K00000X | 03 | Physician/Allergy/ Immunology | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Otolaryngology/Facial Plastic Surgery |
207YX0905X | 04 | Physician/Otolaryngology | |
Pediatric Otolaryngology |
207YP0228X | 04 | Physician/Otolaryngology | |
Plastic Surgery within the Head & Neck |
207YX0007X | 04 | Physician/Otolaryngology | |
Sleep Medicine |
207YS0012X | 04 | Physician/Otolaryngology |
| NPI Number | 1316123862 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/15/2008 | |
| Last updated | 01/15/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RICHARD C. GROSSMAN, D.O., P.A.
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