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Contact Information

GRATEFUL HEART MEDICAL SERVICES PLLC
4210 FAIRMOUNT ST
DALLAS, TX75219-3335
 Phone: 469-363-1058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Community Health

261QC1500X
 

Early Intervention Provider Agency

252Y00000X
 

Health Maintenance Organization

302R00000X
 

Health Service

261QH0100X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Home Infusion

251F00000X
 

Non-emergency Medical Transport (VAN)

343900000X
 

Nursing Care

251J00000X
 

Primary Care

261QP2300X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
 

Recovery Care

261QR0800X
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for GRATEFUL HEART MEDICAL SERVICES PLLC

NPI # 1336714708
LBN Legal business name GRATEFUL HEART MEDICAL SERVICES PLLC
Authorized official ADETOMIWA OGUNDERE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2021
Last updated 05/26/2021 - About 5 years 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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