GRANT LANDON DAVIS

RICHARDSON, TX
NPI1396136693
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP127536)
Enumeration Date2015-02-09
Last Update Date2020-05-05
Business Address
GRANT LANDON DAVIS APRN
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082-4302
Phone number: 972-437-4698
Mailing Address
GRANT LANDON DAVIS APRN
2150 LAKESIDE BLVD STE 100
RICHARDSON, TX 75082-4467
Phone number: 972-437-4698