Grace Medical Association, Pa in Lewisville - Internal Medicine
Grace Medical Association, Pa - NPI 1487695631
Grace Medical Association, Pa is a Internal Medicine in Lewisville, Texas. Grace Medical Association, Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Grace Medical Association, Pa is 1487695631. The last update date is 2014-06-02.
Grace Medical Association, Pa's current location address is Po Box 292128, Lewisville, Texas. You can contact this provider via phone number 9724206777 and fax number 9724200656. The mailing address for Grace Medical Association, Pa is Po Box 292128, Lewisville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Medical Association, Pa |
|---|---|
| Address | Po Box 292128, Lewisville, Texas |
| Phone Number | 9724206777 |
| Fax Number | 9724200656 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Idemudia O Smart |
| Credentials | M.D., PHD. |
| Telephone Number | 9724206777 |
NPI Number Detail
| NPI Number | 1487695631 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2014-06-02 |
Provider Mailing Address Detail
| Address | Po Box 292128 |
|---|---|
| City | Lewisville |
| State | Texas (TX) |
| Post Code | 750292128 |
| Phone Number | 9724206777 |
| Fax Number | 9724200656 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | J91000 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0078DM | TX | BLUE CROSS / BLUE SHIELD | |
| 138993413 | TX | -- | |
| F46614 | TX | COMMERCIAL |
Post Comment/ Review Below
What is the unique identification code assigned to Grace Medical Association, Pa by the Centers for Medicare & Medicaid Services?
The Grace Medical Association, Pa has been issued the NPI (National Provider Identifier) 1487695631. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grace Medical Association, Pa?
The Grace Medical Association, Pa is physically situated at Po Box 292128, in the city of Lewisville, state of TX, with the postal code 750292128.
What is Grace Medical Association, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grace Medical Association, Pa's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487695631 to Grace Medical Association, Pa?
The Grace Medical Association, Pa received its 1487695631 assignment from the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date was the information pertaining to Grace Medical Association, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grace Medical Association, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-02.