GRACE SOUTHERN MEDICAL CLINIC, PLLC

DALLAS, TX
NPI1821486358
Entity TypeOrganization
Authorized ContactSERGIO CALIXTO-MONTANEZ
Member
214-381-1910
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: TX  P4031)
Enumeration Date2015-01-07
Last Update Date2015-01-07
Business Address
GRACE SOUTHERN MEDICAL CLINIC, PLLC
6300 SAMUELL BLVD STE. 120
DALLAS, TX 75228-7137
Phone number: 214-381-1910
Mailing Address
GRACE SOUTHERN MEDICAL CLINIC, PLLC
6300 SAMUELL BLVD STE. 120
DALLAS, TX 75228-7137
Phone number: 214-381-1910