Grady, Mary Gloria
Grady, Mary Gloria is an individual health care provider with primary practice located at 1005 Midwestern Pkwy , Wichita Falls TX 76302-2211. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Grady, Mary Gloria can be contacted via phone (940) 322-0771.Contact Information
Primary practice address
1005 Midwestern Pkwy
Wichita Falls TX 76302-2211
Phone: (940) 322-0771
Fax: (940) 766-4942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Texas |
Profile Details
| NPI number | 1760580021 |
|---|---|
| LBN Legal business name | Grady, Mary Gloria |
| Credentials | EIS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760580021 | NPPES |
| Texas | Other | 00T22Y | BCBS # |
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