Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 15244 | TX |
NPI | 1255663902 |
---|---|
Provider Name | Dr. Frank C. Greider |
First Address | Houston, TX 77057 |
Second Address | Houston, TX 77057-1457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2010 |
Last Update Date | 05/02/2010 |