Individual
DR. GARY S GRINDSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1721A N LEE TREVINO DR STE 103, EL PASO, TX 79936-4521
(915) 845-5000
(915) 845-5003
Mailing address
1721A N LEE TREVINO DR STE 103, EL PASO, TX 79936-4521
(915) 845-5000
(915) 845-5003
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092741002
—
TX
01
—
4508290001
PALMETTO
—
Enumeration date
10/13/2005
Last updated
11/15/2023
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