MEDICARE: DR. GUMARO GRANADOS JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	Q6198	TX

General Provider Information

NPI Number	:	1902244452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUMARO GRANADOS JR. M.D.

Provider Business Mailing Address
First Line	:	1309 FM 1092 RD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1504
Country	:	US
Telephone Number	:	713-461-2915
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 FM 1092 RD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1504
Country	:	US
Telephone Number	:	713-461-2915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	01/20/2023

Similar Medicare Providers

1093720179 — WALGREEN CO
Practice Location Address:

1307 FM 1092 RD
MISSOURI CITY, TX
77459-1504

Practice Phone: 281-499-5150
Practice Fax: 281-261-3082

1518042035 — DR. SIDDHARTH R DAVE D.O.
Practice Location Address:

1309 FM 1092 RD
MISSOURI CITY, TX
77459-1504

Practice Phone: 713-461-2915
Practice Fax:

1013245711 — LINDA T PHAM-HUYNH RPH
Practice Location Address:

1307 FM 1092 RD
MISSOURI CITY, TX
77459-1504

Practice Phone: 281-499-5150
Practice Fax: 281-261-3082

1972831352 — JACK BENNETT JR.
Practice Location Address:

1307 FM 1092 RD
MISSOURI CITY, TX
77459-1504

Practice Phone: 281-499-5150
Practice Fax: 281-261-3082

1740566728 — MRS. SILVY VARGHESE
Practice Location Address:

1307 FM 1092 RD
MISSOURI CITY, TX
77459-1504

Practice Phone: 281-499-5150
Practice Fax: 281-261-3082

1285597872 — WATERSHED WELLNESS LLC
Practice Location Address:

248 S BROAD ST
GROVE CITY, PA
16127-1504

Practice Phone: 724-201-9088
Practice Fax:

Directions to “ DR. GUMARO GRANADOS JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.