| Grainger Medical Partners, Pllc | |
|
16406 Saint Helier St Jersey Village TX 77040-2066 | |
| (832) 672-7161 | |
| Not Available |
| Full Name | Grainger Medical Partners, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16406 Saint Helier St, Jersey Village, Texas |
| Authorized Official Name and Position | Henry Jack Grainger (PRESIDENT) |
| Authorized Official Contact | 8326727161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grainger Medical Partners, Pllc 16406 Saint Helier St Jersey Village TX 77040-2066 Ph: (832) 672-7161 | Grainger Medical Partners, Pllc 16406 Saint Helier St Jersey Village TX 77040-2066 Ph: (832) 672-7161 |
| NPI Number | 1720435688 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 04/12/2021 |
| Medicare PECOS PAC ID | 9739471772 |
|---|---|
| Medicare Enrollment ID | O20160712000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720435688 | NPI | - | NPPES |
| 115814904 | Medicaid | TX | |
| 1306892005 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E1595 (Texas) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | E1595 (Texas) | Secondary |
| Provider Name | Henry J Grainger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306892005 PECOS PAC ID: 0446146898 Enrollment ID: I20040224000823 |
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