Sallyann P Grisolia, RT
Individual provider Active NPI Nuclear Medicine Technology Radiologic Technologist · Garden Ridge, TX
NPI 1235348160 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235348160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist 2471N0900X
- License
- RHT 82896 (CA)
- Practice address
- 18945 FM 2252 Ste 115
Garden Ridge, TX 78266-2797 - Phone
- (210) 651-0027
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHT 82896 | CA | MD | Nuclear Medicine Technology Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | RHT 82896 | CA | Yes |
Addresses
Primary practice location
18945 FM 2252 Ste 115
Garden Ridge, TX 78266-2797
Mailing address
7454 Eads Ave
La Jolla, CA 92037-5036
Phone (858) 551-0285
Other providers in Garden Ridge, TX
- Garden Ridge Christian Counseling
- Garden Ridge Physical Therapy and Wellness Center, P.C.
- Charity Gegenheimer
- Graceland Assisted Living
- Laura Griffin
- Daniel Hacker
- Jennifer Irene Hamouz
- Heart Song Christian Counseling, PLLC
- Hill Country Lifestyle Medicine Center, PLLC
- Cynthia Rodriguez Hnatow
All providers in Garden Ridge, TX · Nuclear Medicine Technology Radiologic Technologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.