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MANUEL GRIEGO JR DO PA NPI 1083814966


NPI Information

NPI: 1083814966
Provider Name: MANUEL GRIEGO JR DO PA

Doing Business As: GRIEGO FAMILY MEDICAL CENTRE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2084014

Address:
2701 S HAMPTON RD
SUITE 101
DALLAS, TX
ZIP 75224
Phone: (214) 330-9221
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MANUEL GRIEGO JR DO PA is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MANUEL GRIEGO JR DO PA NPI is 1083814966. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Griego Family Medical Centre.

The provider's business location address is:

2701 S HAMPTON RD
SUITE 101
DALLAS, TX
ZIP 75224-367
Phone: (214) 330-9221

The provider's authorized official is Manuel Griego .
The authorized official title is President/ceo and has the following contact phone number (214) 580-7277.

The CLIA number assigned to this NPI record is 45D2084014 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineF1604TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E26327MEDICARE UPINTEXAS
2P000HL68MEDICAIDTEXAS
30026CCMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.