Individual
FELIX GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP - BC
Contact information
Practice address
7000 CALMONT AVE, FORT WORTH, TX 76116-4183
(844) 843-0004
Mailing address
71 LUCAS LN, FORT WORTH, TX 76134-3408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
872888
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1082832
TX
Other
Enumeration date
07/23/2021
Last updated
07/11/2022
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