Individual
DR. JOHN KENT GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 INTERSTATE 35W, DENTON, TX 76207
(940) 383-2223
Mailing address
P.O. BOX 51917, DENTON, TX 76206
(940) 383-2223
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J6117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118291701
—
TX
05
—
118291705
—
TX
05
—
118291706
—
TX
05
—
118291707
—
TX
Enumeration date
03/18/2006
Last updated
04/25/2018
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