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Contact Information

GRAND PRAIRIE PRIMARY CARE
5204 TX-360 SUITE 400 A
GRAND PRAIRIE, TX75052
 Phone: 972-755-1785
 Fax: 972-602-4522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GRAND PRAIRIE PRIMARY CARE · (Female)

NPI Number 1174313340
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2025
Last updated 05/09/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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