Individual
DR. PHILLIP M. GRANDSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 RICHMOND CT, HARLINGEN, TX 78552-1935
(956) 230-0896
Mailing address
75 STATE ST FL 26, ATTN: EMILY RUNEY, BOSTON, MA 02109-1827
(617) 204-3547
(617) 428-4917
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0426890
KS
207P00000X
Emergency Medicine Physician
Primary
P2252
TX
Other
Enumeration date
01/03/2006
Last updated
02/19/2013
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