| NPI | 1699951756 |
|---|---|
| Other Name | RICHARD D. GROSSNICKLE, M.D. |
| Entity Type | Organization |
| Authorized Contact | A LISA GROSSNICKLE Office Manager 903-785-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX E6388) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-03-10 |