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Individual

TROY SIMON GRANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3223 S LOOP 289 STE 600 PRIVATE OFFICE 630, LUBBOCK, TX 79423-1372
(833) 351-8255
(888) 815-3583
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
32339
MS
2084P0800X
Psychiatry Physician
324874
NY
2084P0800X
Psychiatry Physician
DR.0071529
CO
2084P0800X
Psychiatry Physician
Primary
T2384
TX

Other

Enumeration date
04/17/2019
Last updated
04/22/2025
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