Grantom, Patricia Ann

Grantom, Patricia Ann is an individual health care provider with primary practice located at 6243 Fairmont Pkwy Suite 202, Pasadena TX 77505-4045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grantom, Patricia Ann can be contacted via phone (281) 991-6403.

Contact Information

Primary practice address
6243 Fairmont Pkwy Suite 202 Pasadena TX 77505-4045
Phone: (281) 991-6403
Fax: (281) 991-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 238530 Texas

Profile Details

NPI number 1669675765
LBN Legal business name Grantom, Patricia Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Feb 13th, 2014 - about 10 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 1669675765 NPPES
Texas MEDICAID 3197238

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