Individual
GRANT MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(214) 578-9161
Mailing address
3391 COUNTY ROAD 324, MCKINNEY, TX 75069-1151
(214) 578-9161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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