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Allen Tracy Grisson, MD
Diagnostic Radiology Physician in Nacogdoches, Texas
NPI 1700836335

Allen Tracy Grisson is a Diagnostic Radiology Physician based in Longview, TX and is specialized in Diagnostic Radiology. Allen Tracy Grisson practices in Nacogdoches, TX and has the professional credentials of MD. The NPI Number for Allen Tracy Grisson is 1700836335 and holds a License No. K3580 (Texas).

The current practice location address for Allen Tracy Grisson is 1204 N Mound St, Nacogdoches, TX and can be reached out via phone at 936-568-8514 and via fax at 903-663-0378.

Location: 1204 N Mound St, Nacogdoches, TX, 75608-5370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700836335
Provider Name
Allen Tracy Grisson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1204 N Mound St, Nacogdoches, TX, 75608-5370
Phone Number
936-568-8514
Fax Number
903-663-0378
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
047351401 05 TX
institution
Provider Business Practice Location Address Details
Address
1204 N Mound St
City
Nacogdoches
State
Texas
Zip
75961-4027
Phone Number
936-568-8514
Fax Number
903-663-0378
person
Provider Business Mailing Address Details
Address
1204 N Mound St
City
Nacogdoches
State
Texas
Zip
75961-4027
Phone Number
936-568-8514
Fax Number
903-663-0378
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
K3580 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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