Provider Demographics
NPI:1568966174
Name:GRINSFELDER, DAVID BENNETT (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BENNETT
Last Name:GRINSFELDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8210 WALNUT HILL LN STE 230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4488
Mailing Address - Country:US
Mailing Address - Phone:972-284-7000
Mailing Address - Fax:972-284-7001
Practice Address - Street 1:8210 WALNUT HILL LN STE 230
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4488
Practice Address - Country:US
Practice Address - Phone:972-284-7000
Practice Address - Fax:972-284-7001
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1950207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine