Individual
DR. GRANGER RYAN SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1400
(214) 370-1405
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M5916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187083401
—
TX
05
—
187083403
—
TX
01
—
8W4994
BCBSTX
TX
Enumeration date
03/09/2007
Last updated
10/26/2011
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