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Individual

TANISHA GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(866) 951-8475
Mailing address
PO BOX 306, FRESNO, TX 77545-0306

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140786
TX
363LA2100X
Acute Care Nurse Practitioner
AP140786
TX
363LF0000X
Family Nurse Practitioner
AP140786
TX

Other

Enumeration date
04/15/2019
Last updated
04/15/2023
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