Organization · Type 2 NPI
Grapevine Pediatric Clinic, PA
Medical Specialty Clinic/Center · Grapevine, TX
Practice location
1600 W College St Ste 60
Grapevine, TX 76051-3580
Fax (817) 421-6527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
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).
Another provider at this address
Other medical specialty clinic/center providers in Grapevine
About NPI 1710010418
Grapevine Pediatric Clinic, PA's National Provider Identifier is 1710010418, issued on Mar 13, 2007. 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 Aug 22, 2020.