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DR. ROBERT WILLIAM GRANT ED.D.

Clinical Neuropsychologist

Lubbock, Texas

Provider NPI: 1811095607

Provider Information:
DR. ROBERT WILLIAM GRANT ED.D.
Gender: M
Sole Proprietor


Practice Location:
3301 101ST ST  LUBBOCK, TX 79423 US
Tel: 806-786-4384  Fax: 806-281-9964

Business Mailing Address:
3301 101ST ST  LUBBOCK, TX 79423 US
Tel: 806-786-4384  Fax: 806-281-9964

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX23819

Other Provider Identifiers:

IssuerNumberStateType
1228348TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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