Dr. Liesl Shockley Grenier
Dermatologist
36000 Darnall Loop Carl R. Darnall Army Medical Center
Fort Hood
, Texas 76544
Dr. Liesl Shockley Grenier
Dermatologist
36000 Darnall Loop Carl R. Darnall Army Medical Center
Fort Hood
, Texas 76544
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Liesl Shockley Grenier
- 36000 Darnall Loop Carl R. Darnall Army Medical Center
- Fort Hood, TX
- Zip : 76544
- Phone :
Second Address
- Dr. Liesl Shockley Grenier
- 36000 Darnall Loop Carl R. Darnall Army Medical Center
- Fort Hood, TX
- Zip : 76544
- Phone : (254) 288-8025
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 26578 | NE |
National Provider Identifier
| NPI | 1003139718 |
|---|---|
| Provider Name | Dr. Liesl Shockley Grenier |
| First Address | Fort Hood, TX 76544 |
| Second Address | Fort Hood, TX 76544 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2010 |
| Last Update Date | 26/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.