Grand Prairie Wellness Ctr
Grand Prairie Wellness Ctr is a Family Medicine Physician in Grand Prairie, Texas. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1710 Small StGrand Prairie, TX 75050-6041
Phone: (972) 266-9123
Fax: (972) 266-7383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1568475366 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chuck Poffenbarger — President · (972) 266-9123 |
| NPI enumerated | August 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1710 Small St, Grand Prairie, TX 75050-6041 |
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