Stanley J Grossman
Nuclear Medicine Specialist
3500 Gaston Ave
Dallas
, Texas 75246
Stanley J Grossman
Nuclear Medicine Specialist
3500 Gaston Ave
Dallas
, Texas 75246
(214) 826-9792
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Stanley J Grossman
- 712 N Washington Ave Suite 101
- Dallas, TX
- Zip : 75246-1619
- Fax : (214) 826-9792
- Phone : (214) 826-8822
Second Address
- Stanley J Grossman
- 3500 Gaston Ave
- Dallas, TX
- Zip : 75246
- Fax : (214) 826-9792
- Phone : (214) 826-8822
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | K0791 | TX |
National Provider Identifier
| NPI | 1750335527 |
|---|---|
| Provider Name | Stanley J Grossman |
| First Address | Dallas, TX 75246-1619 |
| Second Address | Dallas, TX 75246 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 16/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129567706 | (05) | TX |
| 129567707 | (05) | TX |
| 129567709 | (05) | TX |
| D71673 | (02) |
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.