Active NPI
Freedom Therapeutics
- General Practice Physician
- Shenandoah, TX
National Provider Identifier
1932644556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FREEDOM THERAPEUTICS
- Practice address
- 129 Vision Park Blvd Ste 211B
Shenandoah, TX 77384-3024 - Phone
- (936) 273-5214
- NPI assigned
- Jan 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheri Grantham
- Title
- Owner
- Phone
- (936) 524-3428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
129 Vision Park Blvd Ste 211B
Shenandoah, TX 77384-3024
Mailing address
12743 Virgo Dr
Willis, TX 77318-5250
Phone (936) 524-3428
Other practice location 1
12743 Virgo Dr
Willis, TX 77318-5250
Phone (936) 524-3428
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- The Woodlands, TX
- NPI 1831390574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1932644556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12743 VIRGO DR",
"city": "WILLIS",
"state": "TX",
"postal_code": "773185250",
"telephone_number": "936-524-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 VISION PARK BLVD STE 211B",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843024",
"telephone_number": "936-273-5214"
}
],
"practiceLocations": [
{
"address_1": "12743 Virgo Dr",
"address_purpose": "LOCATION",
"city": "Willis",
"state": "TX",
"postal_code": "773185250",
"country_code": "US",
"telephone_number": "936-524-3428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FREEDOM THERAPEUTICS",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-05",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "GRANTHAM",
"authorized_official_first_name": "CHERI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-524-3428"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.