Organization
CORI E. GRANTHAM, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORI ELIZABETH GRANTHAM M.D. (PRESIDENT)
(214) 691-7077
Entity
Organization
Contact information
Practice address
8220 WALNUT HILL LN, 310, DALLAS, TX 75231-4427
(214) 691-7077
(214) 692-8421
Mailing address
8220 WALNUT HILL LN, 310, DALLAS, TX 75231-4427
(214) 691-7077
(214) 692-8421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P2658
TX
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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