person
Charles Gravely, PA
Medical Physician Assistant in Dallas, Texas
NPI 1235307307

Charles Gravely is a Medical Physician Assistant based in Dallas, TX and is specialized in Medical. Charles Gravely practices in Dallas, TX and has the professional credentials of PA. The NPI Number for Charles Gravely is 1235307307 and holds a License No. PA02247 (Texas).

The current practice location address for Charles Gravely is 11910 Greenville Ave, Dallas, TX and can be reached out via phone at 214-572-1124 and via fax at 214-572-7724.

Location: 11910 Greenville Ave, Dallas, TX, 75243-3596
person
Provider Profile Details
NPI Number
1235307307
Provider Name
Charles Gravely
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
11910 Greenville Ave, Dallas, TX, 75243-3596
Phone Number
214-572-1124
Fax Number
214-572-7724
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11910 Greenville Ave
City
State
Zip
75243-3596
Phone Number
214-572-1124
Fax Number
214-572-7724
person
Provider Business Mailing Address Details
Address
11910 Greenville Ave
City
State
Zip
75243-3596
Phone Number
214-572-1124
Fax Number
214-572-7724
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA02247 (Texas)
Definition
Definition to come...
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