Tyler Mickell Grant

NPI #1992661268 in Midland, Texas

Provider Information

NPI Number: 1992661268
Entity Type: Individual
Name: Tyler Mickell Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Dec 31, 2025
Last Updated: Dec 31, 2025

Practice Location

Address: 5101 TORREY VISTA DR
City: Midland
State: Texas
ZIP Code: 79705-4481
Phone: (478) 919-8411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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