MINDY L GRANBERRY PLLC NPI 1851632509

NPI Information

NPI: 1851632509
Provider Name: MINDY L GRANBERRY PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
20424 HAYSTACK CV
SPICEWOOD, TX
ZIP 78669
Phone: (512) 261-3584
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MINDY L GRANBERRY PLLC is a multi-specialty clinic center in Spicewood, TX. MINDY L GRANBERRY PLLC NPI is 1851632509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20424 HAYSTACK CV
SPICEWOOD, TX
ZIP 78669-441
Phone: (512) 261-3584
Fax: (512) 524-3649

The provider's authorized official is Mindy L Granberry .
The authorized official title is Owner/speech Language Pathologist and has the following contact phone number (512) 567-2901.

The enumeration date for this NPI number is 3/5/2013 and was last updated on 9/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	235Z00000X	Speech-Language Pathologist		19117	TEXAS	No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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