Dr. Richard Thompson Granaghan, MD
Radiology, Diagnostic Radiology in Fort Worth, TX. Individual provider (NPI-1).
NPI number1154301554
StatusActive
Last updated in NPPESAug 15, 2012
Details
- NPI
- 1154301554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Thompson Granaghan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2006
- Last updated
- Aug 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | G8144 | TX | Yes |
| 2085B0100X | Radiology, Body Imaging | G8144 | TX | |
| 2085N0700X | G8144 | TX | ||
| 2085N0904X | G8144 | TX | ||
| 2085P0229X | Radiology, Pediatric Radiology | G8144 | TX | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | G8144 | TX |
Practice location
815 Pennsylvania AveFort Worth, TX 76104-2224
Phone 817-321-0312 · Fax 817-317-7033
Mailing address
816 W Cannon StFort Worth, TX 76104-3146
Phone 817-321-0312 · Fax 817-317-7033
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