Grace Medical Association, Pa
LBN: Grace Medical Association, Pa
Grace Medical Association, Pa is an health care organization with primary practice located at 200 W. Southwest Pkwy , Lewisville TX 75067. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Grace Medical Association, Pa can be contacted via phone (972) 420-6777, or through Idemudia, Smart O via phone (972) 420-6777.
Contact Information
Primary practice address
200 W. Southwest Pkwy
Lewisville TX 75067
Phone: (972) 420-6777
Fax: (972) 420-0656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J91000 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J91000 | Texas |
Profile Details
| NPI number | 1487695631 |
|---|---|
| LBN Legal business name | Grace Medical Association, Pa |
| DBA Doing business as | |
| Authorized official | Idemudia, Smart O M.D., PHD. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jun 2nd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487695631 | NPPES |
| Texas | Other | 0078DM | BLUE CROSS / BLUE SHIELD |
| Texas | MEDICAID | 138993413 | BLUE CROSS / BLUE SHIELD |
| Texas | Other | F46614 | BLUE CROSS / BLUE SHIELD |
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