Davis, Grant Landon

Davis, Grant Landon is an individual health care provider with primary practice located at 2150 Lakeside Blvd Ste 100 , Richardson TX 75082-4302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Davis, Grant Landon can be contacted via phone (972) 437-4698.

Contact Information

Primary practice address
2150 Lakeside Blvd Ste 100 Richardson TX 75082-4302
Phone: (972) 437-4698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP127536 Texas

Profile Details

NPI number 1396136693
LBN Legal business name Davis, Grant Landon
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2015
Last updated May 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396136693 NPPES
Texas Other 756930 LICENSE

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