Provider Demographics
NPI:1902129372
Name:MCGRANER, HEIDI SANDERS (PAC)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:SANDERS
Last Name:MCGRANER
Suffix:
Gender:F
Credentials:PAC
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Mailing Address - Street 1:15200 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-566-4200
Mailing Address - Fax:281-566-4242
Practice Address - Street 1:15200 SOUTHWEST FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3845
Practice Address - Country:US
Practice Address - Phone:281-566-4200
Practice Address - Fax:281-566-4242
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA06590363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical