Grant-Jennings, Grace Marie

Grant-Jennings, Grace Marie is an individual health care provider with primary practice located at 7000 North Mopac Suite # 420, Austin TX 78731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Grant-Jennings, Grace Marie can be contacted via phone (512) 482-0045.

Contact Information

Primary practice address
7000 North Mopac Suite # 420 Austin TX 78731
Fax: (512) 476-9892
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K1207 Texas

Profile Details

NPI number 1003816422
LBN Legal business name Grant-Jennings, Grace Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 24th, 2014 - about 12 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 1003816422 NPPES
Texas MEDICAID 045084302

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