William Kelly Grizzard, is a
Physical Therapist based in Van, Texas. William Kelly Grizzard is licensed to practice in Texas (license number 1225840) and his current practice location is
149 Michigan St, Van, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 952-7059.
NPI number for William Kelly Grizzard is 1720559867 and his current mailing address is 149 Michigan St, Van, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720559867.
Healthcare Provider's Profile
Full Name | William Kelly Grizzard |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 149 Michigan St, Van, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720559867
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 12/16/2018
Medical Identifiers
Medical identifiers for William Kelly Grizzard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720559867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1225840 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Kelly Grizzard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
William Kelly Grizzard, 149 Michigan St, Van, TX 75790-3823 Ph: (903) 952-7059 | William Kelly Grizzard, 149 Michigan St, Van, TX 75790-3823 Ph: (903) 952-7059 |
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