Individual
ANGELA LEON GRANADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 S PADRE ISLAND DR STE 180, CORPUS CHRISTI, TX 78416-1361
(361) 221-1905
(361) 201-5540
Mailing address
1620 S PADRE ISLAND DR STE 180, CORPUS CHRISTI, TX 78416-1361
(361) 221-1905
(361) 201-5540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1060102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060102
NP LICENSE
TX
Enumeration date
08/07/2021
Last updated
06/06/2025
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