Grapevine Internal Medicine Centre

NPI 1053536698 - Specialist - 174400000X

NPI Details
NPI 1053536698
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN S JOHN
Position OWNER
Phone (817) 481-8661
Fax (817) 416-8801
Practice Location
1604 LANCASTER DR
GRAPEVINE TX, 76051-3544, US
Phone (817) 481-8661
Fax (817) 416-8801
Business Location
1604 LANCASTER DR
GRAPEVINE TX, 76051-3544, US
Phone (817) 481-8661
Fax (817) 416-8801
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Grapevine Internal Medicine Centre NPI is 1053536698, taxonomy code is 174400000X Grapevine Internal Medicine Centre physically located at 1604 Lancaster Dr, Grapevine TX, 76051-3544. NPI Number 1033115704 has the healthcare provider type.

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1053536698 NPI number is provided on an as is basis without warranty of any kind. 1053536698 is maintained by the National Plan & Provider Enumeration System. The contents of Grapevine Internal Medicine Centre are for informational purposes only.