Provider Demographics
NPI:1790876597
Name:GRAS, HAROLD RICHARD (DDS,FAGD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:RICHARD
Last Name:GRAS
Suffix:
Gender:M
Credentials:DDS,FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4718 INGERSOLL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6602
Mailing Address - Country:US
Mailing Address - Phone:713-965-9666
Mailing Address - Fax:713-621-0335
Practice Address - Street 1:4718 INGERSOLL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6602
Practice Address - Country:US
Practice Address - Phone:713-965-9666
Practice Address - Fax:713-621-0335
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice