Individual
KATIE GRANGER SWANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 N 11TH ST, BEAUMONT, TX 77702-2213
(409) 892-7090
(409) 892-4324
Mailing address
610 STRICKLAND DR STE 270, ORANGE, TX 77630-4788
(409) 883-5600
(409) 883-3570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA03296
TX
207Y00000X
Otolaryngology Physician
PA03296
TX
363AM0700X
Medical Physician Assistant
Primary
PA03296
TX
Other
Enumeration date
05/19/2008
Last updated
03/28/2024
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