National Provider Identifier Database

RICHARD C GROSSMAN DO PA
Facial Plastic Surgery

Contact Information

RICHARD C. GROSSMAN, D.O., P.A.
6221 COLLEYVILLE BLVD
SUITE 100
COLLEYVILLE, TX  76034-6247
Phone: 817-251-6460
Fax: 817-416-0992
Website:
Specialty Taxonomy Code
* Facial Plastic Surgery 207YS0123X
Allergy & Immunology 207K00000X
Otolaryngology 207Y00000X
Otolaryngology/Facial Plastic Surgery 207YX0905X
Pediatric Otolaryngology 207YP0228X
Plastic Surgery within the Head & Neck 207YX0007X
Sleep Medicine 207YS0012X

* Indicates primary specialty

NPI Profile & details for RICHARD C. GROSSMAN, D.O., P.A.

NPI Number 1316123862
Legal business name
LBN		 RICHARD C. GROSSMAN, D.O., P.A.
Authorized official RICHARD GROSSMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/15/2008
Last updated 01/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: G4587
  • TX Other: 00CU95 BCBS

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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