| Michael S Grocki M.d.p.a. | |
|
176 Fairway Dr Kerrville TX 78028-6437 | |
| (830) 257-1814 | |
| (830) 896-6107 |
| Full Name | Michael S Grocki M.d.p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 176 Fairway Dr, Kerrville, Texas |
| Authorized Official Name and Position | Michael S Grocki (PRESIDENT) |
| Authorized Official Contact | 8302571814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Grocki M.d.p.a. 176 Fairway Dr Kerrville TX 78028-6437 Ph: (830) 257-1814 | Michael S Grocki M.d.p.a. 176 Fairway Dr Kerrville TX 78028-6437 Ph: (830) 257-1814 |
| NPI Number | 1346351103 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7315957347 |
|---|---|
| Medicare Enrollment ID | O20060504000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346351103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M1120 (Texas) | Primary |
| Provider Name | Michael S Grocki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366553117 PECOS PAC ID: 4981647989 Enrollment ID: I20060504000403 |
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