Individual provider · Type 1 NPI
Cody Mygrant, PA
Surgical Physician Assistant · Odessa, TX
NPI number
1528435153
Active
Practice location
408 N Hancock Ave
Odessa, TX 79761-5140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
4 other providers at this address
Other surgical physician assistant providers in Odessa
About NPI 1528435153
Cody Mygrant, PA's National Provider Identifier is 1528435153, issued on Aug 31, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Odessa, TX. The record was last updated on Aug 31, 2015.