Individual
DEANNA GRANDSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3900 JOE RAMSEY BLVD E, BLDG #7, GREENVILLE, TX 75401-7727
(903) 455-5654
Mailing address
109 SAINT MARY ST, ROCKWALL, TX 75087-4017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03256
TX
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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