Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicholas Glen Grant, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1205096096

Dr. Nicholas Glen Grant, MD is a Pathology in Dallas, Texas. Graduated from University of Colorado School of Medicine, Denver in 2008, 18 years ago. Practices with Idaho Gastroenterology Associates LLP, a 33-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Trained at
University of Colorado School of Medicine, Denver
Licensed in
TX
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone: (214) 590-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence P6401 (TX)

Record details

NPI number1205096096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2008
Last updated in NPPESAugust 13, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2008 (18 years in practice)
Group practice Idaho Gastroenterology Associates Llp — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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