Individual provider · Type 1 NPI
Mason Paul Granger
Student in an Organized Health Care Education/Training Program · Shreveport, LA
NPI number
1861330318
Active
Practice location
6019 Grover Pl
Shreveport, LA 71105-3363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1861330318
Mason Paul Granger's National Provider Identifier is 1861330318, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 24, 2026.