Individual provider · Type 1 NPI

Bethany Lesch Grubb, PA-C, MPAS

Medical Physician Assistant · Dallas, TX

NPI number 1073624839 Active

Practice location

3450 W Wheatland Rd, Ste. 225
Dallas, TX 75237-3470

Call (972) 283-8979 Map

Fax (972) 283-8988

Mailing address

9749 Gatecrest Dr
Dallas, TX 75238-3314

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA03447 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1073624839

Bethany Lesch Grubb, PA-C, MPAS's National Provider Identifier is 1073624839, issued on Aug 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.