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Individual

DR. WILLIAM CARTER GRINSTEAD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACC

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H2418
TX
207RI0011X
Interventional Cardiology Physician
H2418
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060036684
RAILROAD MEDICARE
TX
05
128438205
TX
Enumeration date
08/15/2006
Last updated
02/06/2012
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