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Contact Information

JUSTIN GRISSOM, DO
4015 I H 45 N STE 100
CONROE, TX77304
 Phone: 936-270-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JUSTIN GRISSOM · (Male)

NPI # 1063774842
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/08/2012
Last updated 10/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P7641
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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