Individual
DR. CAROL GRANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K5971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044716101
—
TX
Enumeration date
08/13/2006
Last updated
06/29/2010
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