Organization · Type 2 NPI

Occumed Plus-Grand Prairie

General Practice Physician · Grand Prairie, TX

NPI number 1174962823 Active

Practice location

805 W. North Carrier Pkwy, 260
Grand Prairie, TX 75050

Call (817) 984-9580 Map

Fax (817) 984-9581

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1174962823

Occumed Plus-Grand Prairie's National Provider Identifier is 1174962823, issued on Jun 17, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jun 17, 2013.