NPI | 1134686926 |
---|---|
Doing Business As | GRAND PRAIRIE PHYSICIANS GROUP |
Entity Type | Organization |
Authorized Contact | MIGUEL A DEL BOSQUE CEO 469-826-4294 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2019-02-27 |
Last Update Date | 2020-04-22 |