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

Grateful Heart Medical Services PLLC

Organization Internal Medicine Physician · NPI 1336714708

Grateful Heart Medical Services PLLC is an Internal Medicine Physician in Dallas, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
14
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4210 Fairmount St
Dallas, TX 75219-3335
Phone: (469) 363-1058
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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
Home Health Agency Taxonomy 251E00000X
Home Infusion Agency Taxonomy 251F00000X
Nursing Care Agency Taxonomy 251J00000X
Public Health or Welfare Agency Taxonomy 251K00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Health Service Clinic/Center Taxonomy 261QH0100X
Primary Care Clinic/Center Taxonomy 261QP2300X
Recovery Care Clinic/Center Taxonomy 261QR0800X
Rural Health Clinic/Center Taxonomy 261QR1300X
Health Maintenance Organization Taxonomy 302R00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1336714708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adetomiwa Ogundere — Ceo · (469) 363-1058
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address6717 Windward View Dr, Rowlett, TX 75088-2226

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