Individual provider · Type 1 NPI

Grant Whittington Herndon, DO

Student in an Organized Health Care Education/Training Program · Grand Prairie, TX

NPI number 1609166347 Active

Practice location

2724 Pleasant Hill Rd
Grand Prairie, TX 75052-8555

Call (409) 720-8147 Map

Mailing address

2724 Pleasant Hill Rd.
Grand Prairie, TX 75052-8555

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609166347

Grant Whittington Herndon, DO's National Provider Identifier is 1609166347, issued on Apr 14, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Prairie, TX. The record was last updated on Apr 14, 2011.