Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Prairie Physician Group LLC

Organization Family Medicine Physician · NPI 1134686926

Grand Prairie Physician Group LLC is a Family Medicine Physician in Grand Prairie, Texas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

517 N Carrier Pkwy Ste J
Grand Prairie, TX 75050-5484
Phone: (214) 677-0639
Fax: (214) 677-0539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1134686926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Del Bosque — Ceo · (469) 826-4294
Other names Grand Prairie Physicians Group; Grand Prairie Physicians Group
NPI enumeratedFebruary 27, 2019
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing address517 N Carrier Pkwy Ste J, Grand Prairie, TX 75050-5484

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