| 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 |