Individual
CORI ELIZABETH GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8220 WALNUT HILL LN, SUITE 310, DALLAS, TX 75231-4427
(214) 691-7077
Mailing address
8220 WALNUT HILL LN, SUITE 310, DALLAS, TX 75231-4427
(214) 691-7077
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P2658
TX
Other
Enumeration date
03/03/2008
Last updated
12/14/2012
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