Granado, Elma
Granado, Elma is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Granado, Elma can be contacted via phone (817) 927-3638.Contact Information
Primary practice address
855 Montgomery St
Fort Worth TX 76107-2553
Phone: (817) 927-3638
Fax: (817) 923-8769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | G9744 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G9744 | Texas |
Profile Details
| NPI number | 1215980644 |
|---|---|
| LBN Legal business name | Granado, Elma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Sep 27th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215980644 | NPPES |
| Texas | Other | P00600823 | RAILROAD MEDICARE |
| Texas | MEDICAID | 124188706 | RAILROAD MEDICARE |
| Texas | Other | 8U1294 | RAILROAD MEDICARE |
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