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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

NPI # 1174313340
LBN Legal business name GRAND PRAIRIE PRIMARY CARE
Authorized official SIREESHA JANGA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2025
Last updated 05/09/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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