Individual
DR. ELIZABETH ANN GROSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01059544A
IN
208100000X
Physical Medicine & Rehabilitation Physician
01059544A
IN
Other
Enumeration date
01/13/2006
Last updated
07/07/2022
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