Individual
GRANT BREELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
U6923
TX
2085R0202X
Diagnostic Radiology Physician
Primary
U6923
TX
Other
Enumeration date
04/01/2020
Last updated
05/14/2025
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