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Grant Whittington Herndon, DO
Student in an Organized Health Care Education/Training Program in Grand Prairie, Texas
NPI 1609166347

Grant Whittington Herndon is a Student in an Organized Health Care Education/Training Program based in Grand Prairie, TX. Grant Whittington Herndon practices in Grand Prairie, TX and has the professional credentials of DO. The NPI Number for Grant Whittington Herndon is 1609166347 and holds a License No. (Texas).

The current practice location address for Grant Whittington Herndon is 2724 Pleasant Hill Rd, Grand Prairie, TX and can be reached out via phone at 409-720-8147. You can also correspond with Grant Whittington Herndon through the mailing address at 2724 PLEASANT HILL RD., GRAND PRAIRIE, TX - 75052-8555 (mailing address contact number: 409-720-8147).

Location: 2724 Pleasant Hill Rd, Grand Prairie, TX, 75052-8555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609166347
Provider Name
Grant Whittington Herndon
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2724 Pleasant Hill Rd, Grand Prairie, TX, 75052-8555
Phone Number
409-720-8147
Fax Number
Provider Enumeration Date
04/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2724 Pleasant Hill Rd
City
Grand Prairie
State
Texas
Zip
75052-8555
Phone Number
409-720-8147
Fax Number
person
Provider Business Mailing Address Details
Address
2724 Pleasant Hill Rd
City
Grand Prairie
State
Texas
Zip
75052-8555
Phone Number
409-720-8147
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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