Individual
DR. JORDAN RICHEY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 DESHONG DR STE A, PARIS, TX 75460-9330
(903) 560-9725
Mailing address
1025 DESHONG DR STE A, PARIS, TX 75460-9330
(903) 560-9725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10041558
TX
208800000X
Urology Physician
Primary
Q8493
TX
Other
Enumeration date
06/22/2011
Last updated
09/11/2023
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