| Dr Jordan Richey Grant, MD | |
|
1025 Deshong Dr Ste A, Paris, TX 75460-9330 | |
| (903) 560-9725 | |
| Not Available |
| Full Name | Dr Jordan Richey Grant |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1025 Deshong Dr Ste A, Paris, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013203645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | BP10041558 (Texas) | Secondary |
| 208800000X | Urology | Q8493 (Texas) | Primary |
| Entity Name | Prmc Healthcare Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457514648 PECOS PAC ID: 6406919901 Enrollment ID: O20090109000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Richey Grant, MD 1025 Deshong Dr Ste A, Paris, TX 75460-9330 Ph: (903) 560-9725 | Dr Jordan Richey Grant, MD 1025 Deshong Dr Ste A, Paris, TX 75460-9330 Ph: (903) 560-9725 |
Arthur Tijerina, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 811 E Austin St, Paris, TX 75460 Phone: 903-785-0338 Fax: 903-785-5369 | |
Jay David Carpenter, D.O. Urology Medicare: May Accept Medicare Assignments Practice Location: 2850 Lewis Ln Ste 113, Paris, TX 75460 Phone: 903-706-5173 Fax: 903-706-5176 | |
Donald L Wikoff, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2915 N Main St, Paris, TX 75460 Phone: 903-784-4044 Fax: 903-784-4201 |