Individual
DARNELL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2727 W 18TH ST, HOUSTON, TX 77008-1072
(832) 329-9828
Mailing address
2727 W 18TH ST, HOUSTON, TX 77008-1072
(832) 329-9828
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335617
TX
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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