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

Individual provider Medical Physician Assistant · NPI 1912104431

Susan Leslie Granville, PA is a Medical Physician Assistant in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4945 Williams Dr
Georgetown, TX 78633-2008
Phone: (512) 819-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA06979 (TX)

Record details

NPI number1912104431
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 28, 2007
Last updated in NPPESApril 18, 2011

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