Individual
KELLEY EILEEN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(972) 974-7727
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2088
(972) 974-7277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V7524
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
08/19/2025
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