NPI 1063774842

Justin Grissom, DO

Practitioner Family Medicine Physician Conroe, TX

Practice location

Address: 4015 I H 45 N STE 100, Conroe, TX 77304
Phone: (936) 270-4600
Mailing address: 4015 I H 45 N STE 100, Conroe, TX 77304-5076

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence P7641 (TX)

Other Family Medicine providers in Texas →

Registry record

NPI: 1063774842
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2012
Record last updated: 2 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.