| NPI | 1609323245 |
|---|---|
| Doing Business As | GRACELAND UNIVERSITY SM |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IA 02206) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |