| Grand Prairie Physician Group Llc | |
|
517 N Carrier Pkwy Ste J Grand Prairie TX 75050-5484 | |
| (214) 677-0639 | |
| (214) 677-0539 |
| Full Name | Grand Prairie Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 517 N Carrier Pkwy Ste J, Grand Prairie, Texas |
| Authorized Official Name and Position | Miguel A Del Bosque (CEO) |
| Authorized Official Contact | 4698264294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Prairie Physician Group Llc 517 N Carrier Pkwy Ste J Grand Prairie TX 75050-5484 Ph: (214) 677-0639 | Grand Prairie Physician Group Llc 517 N Carrier Pkwy Ste J Grand Prairie TX 75050-5484 Ph: (214) 677-0639 |
| NPI Number | 1134686926 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134686926 | NPI | - | NPPES |
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