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Contact Information

GRAPEVINE RADIOLOGY ASSOCIATES
1650 W COLLEGE STREET
GRAPEVINE, TX76051
 Phone: 817-488-7546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GRAPEVINE RADIOLOGY ASSOCIATES · (Female)

NPI # 1154387231
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2006
Last updated 05/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 093777301
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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