# RICHARD C. GROSSMAN, D.O., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metropolitan Surgical Specialties
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316123862
- **Authorized official:** DR. RICHARD COBB GROSSMAN D. O. (OWNER)
- **Authorized official phone:** (817) 251-6460

## Contact information

- **Practice address:** 6221 COLLEYVILLE BLVD, SUITE 100, COLLEYVILLE, TX 76034-6247
- **Practice address phone:** (817) 251-6460
- **Practice address fax:** (817) 416-0992
- **Mailing address:** 6221 COLLEYVILLE BLVD, SUITE 100, COLLEYVILLE, TX 76034-6247
- **Mailing address phone:** (817) 251-6460
- **Mailing address fax:** (817) 416-0992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | G4587 | TX | — |
| 207Y00000X | Otolaryngology Physician | G4587 | TX | — |
| 207YP0228X | Pediatric Otolaryngology Physician | G4587 | TX | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | G4587 | TX | — |
| 207YS0123X | Facial Plastic Surgery Physician | G4587 | TX | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | G4587 | TX | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | G4587 | TX | — |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00CU95 | BCBS | TX |