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MANUEL GRIEGO JR DO PA NPI 1235338401


NPI Information

NPI: 1235338401
Provider Name: MANUEL GRIEGO JR DO PA

Doing Business As: ONE MAIN MEDICAL CENTRE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1201 MAIN ST
SUITE P350
DALLAS, TX
ZIP 75202
Phone: (469) 621-6662
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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 1235338401. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As One Main Medical Centre.

The provider's business location address is:

1201 MAIN ST
SUITE P350
DALLAS, TX
ZIP 75202-908
Phone: (469) 621-6662

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

The enumeration date for this NPI number is 7/17/2007 and was last updated on 7/17/2007.


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
1P000HL68MEDICAIDTEXAS
20026CCMEDICARE PINTEXAS
3E26327MEDICARE UPINTEXAS

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.