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GRAND PRAIRIE PHYSICIAN GROUP LLC NPI 1134686926


NPI Information

NPI: 1134686926
Provider Name: GRAND PRAIRIE PHYSICIAN GROUP LLC

Doing Business As: GRAND PRAIRIE PHYSICIANS GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
517 N CARRIER PKWY STE J
GRAND PRAIRIE, TX
ZIP 75050
Phone: (214) 677-0639
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GRAND PRAIRIE PHYSICIAN GROUP LLC is an internal medicine in Grand Prairie, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GRAND PRAIRIE PHYSICIAN GROUP LLC NPI is 1134686926. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand Prairie Physicians Group.

The provider's business location address is:

517 N CARRIER PKWY STE J
GRAND PRAIRIE, TX
ZIP 75050-484
Phone: (214) 677-0639
Fax: (214) 677-0539

The provider's authorized official is Miguel A Del Bosque .
The authorized official title is Ceo and has the following contact phone number (469) 826-4294.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 4/22/2020.


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 MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4208100000XPhysical Medicine & RehabilitationNo
5207R00000XInternal MedicineYes

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: 4/28/2024

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