NPI | 1881188332 |
---|---|
Doing Business As | GRACE MEDICAL |
Entity Type | Organization |
Authorized Contact | BRANDY M ROBERTS Owner 936-391-5606 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120895) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2018-06-19 |