Grainger, Henry Jack

Grainger, Henry Jack is an sole proprietor health care provider with primary practice located at 511A W Tidwell Rd , Houston TX 77091-4338. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Grainger, Henry Jack can be contacted via phone (713) 694-9709.

Contact Information

Primary practice address
511A W Tidwell Rd Houston TX 77091-4338
Phone: (713) 694-9709
Fax: (281) 618-8761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E1595 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X E1595 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E1595 Texas

Profile Details

NPI number 1306892005
LBN Legal business name Grainger, Henry Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306892005 NPPES
Texas Other 00R283 BLUE CROSS BLUE SHIELD
Texas MEDICAID 115814904 BLUE CROSS BLUE SHIELD

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