Individual
MAURICE S GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 LOUISIANA AVE, SUITE 307, CORPUS CHRISTI, TX 78404-2899
(361) 853-7301
(361) 853-0835
Mailing address
1001 LOUISIANA AVE, SUITE 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
—
0312837-01
—
TX
01
—
74-1835563
TAX ID
TX
Enumeration date
07/28/2005
Last updated
07/29/2008
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