Individual provider · Type 1 NPI

Gerald W. Growcock, MD

Diagnostic Radiology Physician · San Antonio, TX

NPI number 1699751404 Active

Practice location

8401 Datapoint Dr Ste 600
San Antonio, TX 78229-5907

Fax (210) 616-7709

Mailing address

P. O. Box 29441, 8401 Datapoint, Suite 600
San Antonio, TX 78229-0441

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XE2588 (TX)
Diagnostic Neuroimaging (Radiology) Physician 2085D0003XE2588 (TX)
Neuroradiology Physician 2085N0700XE2588 (TX)
Nuclear Radiology Physician 2085N0904XE2588 (TX)
Diagnostic Radiology Physician Primary 2085R0202XE2588 (TX)
Diagnostic Ultrasound Physician 2085U0001XE2588 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1699751404

Gerald W. Growcock, MD's National Provider Identifier is 1699751404, issued on Dec 22, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Antonio, TX. The record was last updated on Jul 26, 2010.