Provider Demographics
NPI:1124166137
Name:GRAYSON COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:GRAYSON COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEVORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-893-0131
Mailing Address - Street 1:515 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-4952
Mailing Address - Country:US
Mailing Address - Phone:903-893-0131
Mailing Address - Fax:903-892-3776
Practice Address - Street 1:515 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-4952
Practice Address - Country:US
Practice Address - Phone:903-893-0131
Practice Address - Fax:903-892-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare