Most Relevant Information
Provider Data
| NPI Number: | 1003800079 |
| Provider Name: | RICHARD DEAN GROSSNICKLE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | E6388 |
Most Important Dates
| Enumeration Date: | 09/07/2005 |
| Last Updated: | 03/21/2011 |
Provider Practice Location
2615 NE LOOP 286
PARIS
TX
754603444
Practice Location Phone/Fax
| Phone: | 9067850083 |
| Fax: | 9037852947 |
Provider Mailing Location
2615 NE LOOP 286
PARIS
TX
754603444
Provider Mailing Phone/Fax
| Phone: | 9067850083 |
| Fax: | 9037852947 |