NPI | 1578388484 |
---|---|
Doing Business As | GRACE GYNECOLOGY |
Entity Type | Organization |
Authorized Contact | JANA MCGAHAN Billing Mgr 469-769-1961 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2024-11-18 |
Last Update Date | 2024-11-18 |