Individual
TAMIE LEA GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15112 SUNNINGDALE ST, AUSTIN, TX 78717-3818
(512) 364-2945
(512) 248-8611
Mailing address
15112 SUNNINGDALE ST, AUSTIN, TX 78717-3818
(512) 364-2945
(512) 248-8611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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