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Organization

MAURICE S GROSSMAN MD FACP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAURICE SIDNEY GROSSMAN MD (PRESIDENT)
(361) 853-7301
Entity
Organization

Contact information

Practice address
1001 LOUISIANA AVE STE 307, CORPUS CHRISTI, TX 78404-2899
(361) 853-7301
(361) 853-0835
Mailing address
1001 LOUISIANA AVE STE 307, CORPUS CHRISTI, TX 78404-2899
(361) 853-7301
(361) 853-0835

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
C3062
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031283701
TX
Enumeration date
06/13/2007
Last updated
07/29/2008
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