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Organization

J KIRKLAND GRANT, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
J KIRKLAND GRANT (M.D.)
(972) 686-8200
Entity
Organization

Contact information

Practice address
929 N GALLOWAY AVE STE 104, MESQUITE, TX 75149-2400
(972) 686-8200
(972) 686-7711
Mailing address
929 N GALLOWAY AVE STE 104, MESQUITE, TX 75149-2400
(972) 686-8200
(972) 686-7711

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F4018
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084138901
TX
05
10018543
TX
05
114499002
TX
05
3287
TX
01
4272341
AETNA
TX
01
81W310
BC & BS
TX
Enumeration date
01/17/2007
Last updated
07/09/2025
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