Individual
JESSICA R GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7017
(214) 456-8132
Mailing address
8650 SOUTHWESTERN BLVD, APT 4009, DALLAS, TX 75206-2611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
01/20/2010
Last updated
01/25/2016
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