Great Southwest Medical LLC
Great Southwest Medical LLC is a Health Service Clinic/Center in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2013.
- Licensed in
- TX
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
643 S Great Southwest Pkwy Ste 104Grand Prairie, TX 75051-1056
Phone: (214) 363-5400
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
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence K0566 (TX) |
|---|
Record details
| NPI number | 1235571340 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rhonda Guitreau — Agent · (214) 382-1909 |
| NPI enumerated | July 18, 2013 |
| Last updated in NPPES | July 18, 2013 |
| Mailing address | 643 S Great Southwest Pkwy, Suite 104, Grand Prairie, TX 75051-1056 |
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