| Mark C. Grant, Pllc | |
|
4613 W Orem Dr Houston TX 77045-4107 | |
| (713) 433-4344 | |
| (713) 433-1814 |
| Full Name | Mark C. Grant, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4613 W Orem Dr, Houston, Texas |
| Authorized Official Name and Position | Debra Lanfer (OFFICE MANAGER) |
| Authorized Official Contact | 7134334344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C. Grant, Pllc 4613 W Orem Dr Houston TX 77045-4107 Ph: (713) 433-4344 | Mark C. Grant, Pllc 4613 W Orem Dr Houston TX 77045-4107 Ph: (713) 433-4344 |
| NPI Number | 1851706444 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 06/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851706444 | NPI | - | NPPES |
| 209997001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0025191 (Texas) | Primary |
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