Individual
MRS. PATRICIA ANN GRANTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6243 FAIRMONT PKWY, SUITE 202, PASADENA, TX 77505-4045
(281) 991-6403
(281) 991-6405
Mailing address
6243 FAIRMONT PKWY, SUITE 202, PASADENA, TX 77505-4045
(281) 991-6403
(281) 991-6405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
238530
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3197238
—
TX
Enumeration date
06/06/2007
Last updated
02/13/2014
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