Provider Demographics
NPI:1043104581
Name:GRANDY, DANIEL E JR
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:E
Last Name:GRANDY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3663 N SAM HOUSTON PKWY E STE 600
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032-3611
Mailing Address - Country:US
Mailing Address - Phone:832-524-1694
Mailing Address - Fax:
Practice Address - Street 1:3663 N SAM HOUSTON PKWY E STE 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-3611
Practice Address - Country:US
Practice Address - Phone:832-524-1694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator