Organization · Type 2 NPI

Misi, PA

Specialist · Grand Prairie, TX

NPI number 1003100173 Active

Practice location

5224 S State Highway 360, Suite 230
Grand Prairie, TX 75052-0950

Fax (972) 884-4411

Mailing address

10400 N Central Expy
Dallas, TX 75231-2297

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

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About NPI 1003100173

Misi, PA's National Provider Identifier is 1003100173, issued on Jun 6, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jun 9, 2011.