| Dr Kristina R Grant, DO | |
|
1337 S Sam Houston Blvd, Houston, MO 65483-2046 | |
| (417) 967-5435 | |
| (417) 967-5503 |
| Full Name | Dr Kristina R Grant |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1337 S Sam Houston Blvd, Houston, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356922298 | NPI | - | NPPES |
| 26D0889777 | Other | MO | CLIA |
| 200142346 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2024021247 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Texas County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306885587 PECOS PAC ID: 9436041696 Enrollment ID: O20040325000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristina R Grant, DO 1337 S Sam Houston Blvd, Houston, MO 65483-2046 Ph: (417) 967-5435 | Dr Kristina R Grant, DO 1337 S Sam Houston Blvd, Houston, MO 65483-2046 Ph: (417) 967-5435 |
Dr. William Ryan Errico, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1337 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-5435 Fax: 417-967-5503 | |
Dr. William C. Wright, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-1252 Fax: 417-967-0417 | |
Dr. Donald P. Schaefer Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3311 Fax: 417-967-1234 | |
David W Dale, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1340 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3755 Fax: 417-967-2630 | |
Dr. Clarisse Tallah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-1263 Fax: 417-967-1393 | |
Dr. Lynn D. Hauenstein, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3311 Fax: 417-967-3764 |