Mindy L Granberry Pllc is a
Clinic/center - Multi-specialty based in Spicewood, Texas. Mindy L Granberry Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
20424 Haystack Cv, Spicewood, Texas. It can be reached at their office (for appointments etc.) via phone at
(512) 261-3584.
NPI number for Mindy L Granberry Pllc is 1851632509 and their current mailing address is Po Box 90997, Austin, Texas. Mindy L Granberry Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1851632509.
Healthcare Provider's Profile
| Full Name | Mindy L Granberry Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 20424 Haystack Cv, Spicewood, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851632509
- Provider Enumeration Date: 03/05/2013
- Last Update Date: 09/02/2021
Medical Identifiers
Medical identifiers for Mindy L Granberry Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851632509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 19117 (Texas) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | 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. Mindy L Granberry Pllc 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 |
|---|
Mindy L Granberry Pllc
Po Box 90997,
Austin, TX 78709-0997
Ph: (512) 261-3584 | Mindy L Granberry Pllc
20424 Haystack Cv,
Spicewood, TX 78669-6441
Ph: (512) 261-3584 |
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