Maurice S Grossman MD Facp PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

C3062 Issued in TX

Legal business name

MAURICE S GROSSMAN MD FACP PA

Practice address

1001 Louisiana Ave Ste 307
Corpus Christi, TX 78404-2899

Phone

(361) 853-7301

Fax

(361) 853-0835

NPI assigned

Jun 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maurice Sidney Grossman, MD

Title

President

Phone

(361) 853-7301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1134323231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE STE 307",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042899",
            "telephone_number": "361-853-7301",
            "fax_number": "361-853-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LOUISIANA AVE STE 307",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042899",
            "telephone_number": "361-853-7301",
            "fax_number": "361-853-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE S GROSSMAN MD FACP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-853-7301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "C3062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031283701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Legal Medicine in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.