Organization · Type 2 NPI

Shepherds Gate Life Changing Center

Primary Care Clinic/Center · Grand Prairie, TX

NPI number 1326004482 Active

Practice location

817 W Pioneer Pkwy, Suite 146B
Grand Prairie, TX 75051-4710

Call (972) 522-5665 Map

Fax (972) 522-5605

Mailing address

325 Kingfisher Ln
Arlington, TX 76002-3391

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XPA01240 (TX)

Primary Care Clinic/Center: Definition to come...

7 other providers at this address

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About NPI 1326004482

Shepherds Gate Life Changing Center's National Provider Identifier is 1326004482, issued on Apr 26, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Grand Prairie, TX. The record was last updated on Jun 20, 2011.