# HA GRAND PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124253471
- **Authorized official:** HARRELL ANTHONY GRAND MD (OWNER)
- **Authorized official phone:** (214) 824-2121

## Contact information

- **Practice address:** 3801 GASTON AVE, 315, DALLAS, TX 75246-1541
- **Practice address phone:** (214) 824-2121
- **Practice address fax:** (214) 824-2406
- **Mailing address:** 3801 GASTON AVE, 315, DALLAS, TX 75246-1541
- **Mailing address phone:** (214) 824-2121
- **Mailing address fax:** (214) 824-2406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | G5914 | TX | Yes |

## Other

- **Enumeration date:** 05/15/2009
- **Last updated:** 11/13/2014