Grand Prairie Professional Group, P. A.
Grand Prairie Professional Group, P. A. is an Addiction Psychiatry Physician in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
Practice location Address checks out
1171 107th StGrand Prairie, TX 75050-2502
Phone: (615) 727-8387
Fax: (615) 457-8094
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Psychiatry Physician (primary) | Taxonomy 2084P0802X · Licence E1948 (TX) |
|---|
Record details
| NPI number | 1871850750 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Calarco — Facility Ceo · (615) 712-5862 |
| NPI enumerated | April 18, 2012 |
| Last updated in NPPES | August 25, 2021 |
| Certification date | August 25, 2021 |
| Mailing address | 200 Powell Pl, Attn: Legal Department, Brentwood, TN 37027-7514 |