GRACE K GONGIDI

FORT WORTH, TX
NPI1437479458
Former NameGRACE K CROTZER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2010-06-02
Last Update Date2021-05-06
Business Address
GRACE K GONGIDI PA
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-7840
Mailing Address
GRACE K GONGIDI PA
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1860
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