Organization · Type 2 NPI
Alice Place Medical Care Services
Family Nurse Practitioner · Grand Prairie, TX
NPI number
1710654900
Active
Practice location
2719 La Jolla Blvd
Grand Prairie, TX 75054-0299
Fax (469) 502-3622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1710654900
Alice Place Medical Care Services's National Provider Identifier is 1710654900, issued on Aug 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Prairie, TX. The record was last updated on Dec 28, 2021.