Grapevine Rheumatology Clinic,llc

NPI 1083963201 - Clinic/Center - 261QM2500X

NPI Details
NPI 1083963201
Enumeration Date 09/04/2012
Last Updated 09/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name UZMA A UZMA
Position PRESIDENT
Phone (817) 224-2215
Fax (817) 796-1500
Practice Location
210 N PARK BLVD
SUITE 107
GRAPEVINE TX, 76051-6985, US
Phone (817) 224-2215
Fax (817) 796-1500
Business Location
PO BOX 3767
GRAPEVINE TX, 76099-3767, US
Phone (312) 451-3452
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State Texas
License Number P2540
Remove 1083963201 NPI Number
 

According to our database, Grapevine Rheumatology Clinic,llc NPI is 1083963201, taxonomy code is 261QM2500X and license number is P2540, license state is located at Texas. Grapevine Rheumatology Clinic,llc physically located at 210 N Park Blvd, Grapevine TX, 76051-6985. NPI Number 1033115704 has the healthcare provider type.

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1083963201 NPI number is provided on an as is basis without warranty of any kind. 1083963201 is maintained by the National Plan & Provider Enumeration System. The contents of Grapevine Rheumatology Clinic,llc are for informational purposes only.