Dr Carol Grannum, MD | |
1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 | |
(956) 365-6750 | |
(956) 365-6779 |
Full Name | Dr Carol Grannum |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1706 Treasure Hills Blvd, Harlingen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245243336 | NPI | - | NPPES |
044716101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | K5971 (Texas) | Primary |
Entity Name | Su Clinica Familiar |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285643304 PECOS PAC ID: 5496663429 Enrollment ID: O20040121001155 |
Mailing Address | Practice Location Address |
---|---|
Dr Carol Grannum, MD 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 Ph: (956) 365-6750 | Dr Carol Grannum, MD 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 Ph: (956) 365-6750 |
Christian Gonzalez, Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-421-2414 | |
Dr. Eleonor Ignacio Cajita, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 321 S 21st St, Harlingen, TX 78550 Phone: 956-425-8761 Fax: 956-425-9207 | |
Alicia Gonzalez, FNP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 321 S 21st St, Harlingen, TX 78550 Phone: 956-425-8761 | |
Rafael Villalobos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2121 Pease St, Ste 207, Harlingen, TX 78550 Phone: 956-350-2660 Fax: 956-350-0505 | |
Luis Pablo Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-389-1100 | |
Dr. Syed K Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 Midlane Dr, Harlingen, TX 78552 Phone: 956-230-6320 Fax: 956-230-6321 | |
Fernando Garcia, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 201 E Jackson St, Harlingen, TX 78550 Phone: 956-421-4935 Fax: 855-520-7581 |