institution
Grace Southern Medical Clinic, Pllc
Primary Care Clinic/Center in Dallas, Texas
NPI 1821486358

Grace Southern Medical Clinic, Pllc is a Primary Care Clinic/Center based in Dallas, TX and is specialized in Primary Care. Grace Southern Medical Clinic, Pllc practices in Dallas, TX. The NPI Number for Grace Southern Medical Clinic, Pllc is 1821486358 and holds a License No. P4031 (Texas).

The current practice location address for Grace Southern Medical Clinic, Pllc is 6300 Samuell Blvd, Dallas, TX and can be reached out via phone at 214-381-1910 and via fax at 214-381-2868.

Location: 6300 Samuell Blvd, Dallas, TX, 75228-7137
institution
Provider Profile Details
NPI Number
1821486358
Provider Name
Grace Southern Medical Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
6300 Samuell Blvd, Dallas, TX, 75228-7137
Phone Number
214-381-1910
Fax Number
214-381-2868
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6300 Samuell Blvd
City
State
Zip
75228-7137
Phone Number
214-381-1910
Fax Number
214-381-2868
person
Provider Business Mailing Address Details
Address
6300 Samuell Blvd
City
State
Zip
75228-7137
Phone Number
214-381-1910
Fax Number
214-381-2868
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
P4031 (Texas)
Definition
Definition to come...
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