Search › Texas › 363AS0400X
Cody Mygrant, PA
NPI 1528435153 · on the registry since 2015
Practice
- Address
- 408 N Hancock Ave
Odessa, TX 79761 - Phone
- (432) 580-7373
- Organisation at this address
- Triton Surgical Associates Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas