Vanesko, Grace C

Vanesko, Grace C is an individual health care provider with primary practice located at 3032 Communications Pkwy , Plano TX 75093-8913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Vanesko, Grace C can be contacted via phone (972) 943-8440.

Contact Information

Primary practice address
3032 Communications Pkwy Plano TX 75093-8913
Fax: (972) 618-3623
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X J2395 Texas

Profile Details

NPI number 1871579169
LBN Legal business name Vanesko, Grace C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 16th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871579169 NPPES
Texas MEDICAID 118020001
Texas Other 82W276

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