Organization · Type 2 NPI

Grapevine Rheumatology Clinic,llc

Medical Specialty Clinic/Center · Grapevine, TX

NPI number 1083963201 Active

Practice location

210 N Park Blvd, Suite 107
Grapevine, TX 76051-6985

Fax (817) 796-1500

Mailing address

PO Box 3767
Grapevine, TX 76099-3767

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XP2540 (TX)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

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About NPI 1083963201

Grapevine Rheumatology Clinic,llc's National Provider Identifier is 1083963201, issued on Sep 4, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Grapevine, TX. The record was last updated on Sep 4, 2012.