Kelly Holley Grillo, MD | |
700 Scott And White Dr, College Station, TX 77845-6441 | |
(979) 207-0100 | |
(979) 207-2161 |
Full Name | Kelly Holley Grillo |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 700 Scott And White Dr, College Station, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306851274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J0509 (Texas) | Primary |
Entity Name | Curana Health Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255640678 PECOS PAC ID: 9133304603 Enrollment ID: O20110427000111 |
Entity Name | Ch Specialty Services Tx Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306225701 PECOS PAC ID: 6507173291 Enrollment ID: O20150912000083 |
Mailing Address | Practice Location Address |
---|---|
Kelly Holley Grillo, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Kelly Holley Grillo, MD 700 Scott And White Dr, College Station, TX 77845-6441 Ph: (979) 207-0100 |
Joseph Jason Roman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Suite 4880, College Station, TX 77845 Phone: 979-796-1111 Fax: 979-764-1164 | |
Ashley Annly Liou, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 Fax: 979-207-2161 | |
Rajpreet Kaur Singh, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 Birmingham Rd Ste 200, College Station, TX 77845 Phone: 979-696-8000 Fax: 979-696-8100 | |
Dr. Natraj Aiyappan Shanmugam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845 Phone: 979-696-5663 Fax: 979-694-1319 | |
Kaycee Leigh Weaver, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Daniel Philip Stagg Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4000 Fax: 979-207-4562 | |
Dr. Thomas H. Meade, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 Birmingham Rd Ste 202, College Station, TX 77845 Phone: 979-446-0373 |