BLAKE ALAN GRANT

AUSTIN, TX
NPI1003522293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1109094)
Enumeration Date2023-01-30
Last Update Date2023-08-30
Business Address
Mr. BLAKE ALAN GRANT PMHNP-BC
4005 BANISTER LN STE 200C
AUSTIN, TX 78704-8077
Phone number: 512-328-7222
Mailing Address
Mr. BLAKE ALAN GRANT PMHNP-BC
4005 BANISTER LN STE 200C
AUSTIN, TX 78704-8077
Phone number: 806-893-1778
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