Howerton, Granville G

Howerton, Granville G is an sole proprietor health care provider with primary practice located at 169 Lake Park Rd , Lewisville TX 75057-2303. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Howerton, Granville G can be contacted via phone (972) 436-7571.

Contact Information

Primary practice address
169 Lake Park Rd Lewisville TX 75057-2303
Phone: (972) 436-7571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 598609 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 598609 Texas

Profile Details

NPI number 1326088188
LBN Legal business name Howerton, Granville G
Credentials RN-FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated May 6th, 2010 - about 14 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 1326088188 NPPES
Texas MEDICAID 122017001

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