GRAND PRAIRIE PHYSICIAN GROUP LLC

GRAND PRAIRIE, TX
NPI1134686926
Doing Business AsGRAND PRAIRIE PHYSICIANS GROUP
Entity TypeOrganization
Authorized ContactMIGUEL A DEL BOSQUE
CEO
469-826-4294
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
207V00000X Obstetrics & Gynecology
208000000X Pediatrics
208100000X Physical Medicine & Rehabilitation
Enumeration Date2019-02-27
Last Update Date2020-04-22
Business Address
GRAND PRAIRIE PHYSICIAN GROUP LLC
517 N CARRIER PKWY STE J
GRAND PRAIRIE, TX 75050-5484
Phone number: 214-677-0639
Mailing Address
GRAND PRAIRIE PHYSICIAN GROUP LLC
517 N CARRIER PKWY STE J
GRAND PRAIRIE, TX 75050-5484
Phone number: 214-677-0639