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Alice Place Medical Care Services
Family Nurse Practitioner in Grand Prairie, Texas
NPI 1710654900

Alice Place Medical Care Services is a Family Nurse Practitioner based in Grand Prairie, TX and is specialized in Family. Alice Place Medical Care Services practices in Grand Prairie, TX. The NPI Number for Alice Place Medical Care Services is 1710654900 and holds a License No. (Texas).

The current practice location address for Alice Place Medical Care Services is 2719 La Jolla Blvd, Grand Prairie, TX and can be reached out via phone at 469-756-7021 and via fax at 469-502-3622.

Location: 2719 La Jolla Blvd, Grand Prairie, TX, 75054-0299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710654900
Provider Name
Alice Place Medical Care Services
Credential
Provider Entity Type
Organization
Address
2719 La Jolla Blvd, Grand Prairie, TX, 75054-0299
Phone Number
469-756-7021
Fax Number
469-502-3622
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370763001 05 TX
institution
Provider Business Practice Location Address Details
Address
2719 La Jolla Blvd
City
Grand Prairie
State
Texas
Zip
75054-0299
Phone Number
469-756-7021
Fax Number
469-502-3622
person
Provider Business Mailing Address Details
Address
2719 La Jolla Blvd
City
Grand Prairie
State
Texas
Zip
75054-0299
Phone Number
469-756-7021
Fax Number
469-502-3622
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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