Grace Medical Association, Pa

NPI 1487695631 - Family Medicine - 207Q00000X

NPI Details
NPI 1487695631
Enumeration Date 06/09/2006
Last Updated 06/02/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SMART O SMART
Position OWNER
Phone (972) 420-6777
Fax (972) 420-0656
Practice Location
200 W. SOUTHWEST PKWY
LEWISVILLE TX, 75067, US
Phone (972) 420-6777
Fax (972) 420-0656
Business Location
PO BOX 292128
LEWISVILLE TX, 75029-2128, US
Phone (972) 420-6777
Fax (972) 420-0656
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number J91000
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According to our database, Grace Medical Association, Pa NPI is 1487695631, taxonomy code is 207Q00000X and license number is J91000, license state is located at Texas. Grace Medical Association, Pa physically located at 200 W. Southwest Pkwy, Lewisville TX, 75067. NPI Number 1033115704 has the healthcare provider type.

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1487695631 NPI number is provided on an as is basis without warranty of any kind. 1487695631 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Medical Association, Pa are for informational purposes only.