Charles Mack Grubb in Plano - Physician Assistant
Charles Mack Grubb - NPI 1366484354
Charles Mack Grubb is a Physician Assistant in Plano, Texas. Charles Mack Grubb practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Mack Grubb is 1366484354. The last update date is 2016-12-13.
Charles Mack Grubb's current location address is 5501 Independence Pkwy, Plano, Texas. You can contact this provider via phone number 9725961747 and fax number 9729859775. The mailing address for Charles Mack Grubb is 5501 Independence Pkwy, Plano, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Mack Grubb |
|---|---|
| Address | 5501 Independence Pkwy, Plano, Texas |
| Phone Number | 9725961747 |
| Fax Number | 9729859775 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1366484354 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2016-12-13 |
Provider Mailing Address Detail
| Address | 5501 Independence Pkwy |
|---|---|
| City | Plano |
| State | Texas (TX) |
| Post Code | 750235463 |
| Phone Number | 9725961747 |
| Fax Number | 9729859775 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03541 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Charles Mack Grubb by the Centers for Medicare & Medicaid Services?
The Charles Mack Grubb has been issued the NPI (National Provider Identifier) 1366484354 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Charles Mack Grubb is physically located?
The Charles Mack Grubb is physically situated at the following address: 5501 Independence Pkwy, Plano, TX, 750235463.
What is Charles Mack Grubb's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Mack Grubb is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366484354 to Charles Mack Grubb?
The Centers for Medicare & Medicaid Services assigned the 1366484354 to Charles Mack Grubb on 2006-06-12.
When was the information related to Charles Mack Grubb most recently updated or refreshed?
The details pertaining to the Charles Mack Grubb, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-12-13.