Organization
VICTORIA ELECTROCARDIOGRAPHY
Active
Other names
Victoria EKG
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRUMMAN MD (DIRECTOR)
(361) 572-0333
Entity
Organization
Contact information
Practice address
1908 N LAURENT ST, SUITE 550, VICTORIA, TX 77901-5468
(361) 572-0333
(361) 572-0104
Mailing address
1908 N LAURENT ST, SUITE 550, VICTORIA, TX 77901-5468
(361) 572-0333
(361) 572-0104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L14S
BLUE CROSS
TX
05
—
083647001
—
TX
01
—
CT1682
RAILROAD
—
Enumeration date
10/05/2006
Last updated
11/20/2014
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