Individual
DR. DAVID ROBERT GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3503 NEW BOSTON RD, TEXARKANA, TX 75501-3139
(903) 244-4635
Mailing address
3307 PLEASANT GROVE RD, TEXARKANA, TX 75503-0970
(903) 244-4635
(903) 223-4407
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33249
TX
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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