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Organization
BEANSPROUT PEDIATRICS
Active
Organization
BEANSPROUT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE DENISE GRANT M.D. (OWNER/PHYSICIAN)
(512) 610-7030
Entity
Organization
Contact information
Practice address
13917 W HIGHWAY 71 STE A, AUSTIN, TX 78738-3008
(512) 610-7030
(512) 610-7034
Mailing address
13917 W HIGHWAY 71 STE A, AUSTIN, TX 78738-3008
(512) 610-7030
(512) 610-7034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
02/12/2019
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