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Individual

GRANT WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
400 N BROWN ST BLDG 2, HAMILTON, TX 76531-1518
(254) 386-1700
Mailing address
532 E STATE HIGHWAY 22, HAMILTON, TX 76531-3182
(817) 422-8400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TX

Other

Enumeration date
10/06/2017
Last updated
10/06/2017
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