Bethany Lesch Grubb in Dallas - Medical

Bethany Lesch Grubb - NPI 1073624839

Bethany Lesch Grubb is a Medical in Dallas, Texas. Bethany Lesch Grubb practices all healthcare services and medical treatments related to Medical. The NPI Number for Bethany Lesch Grubb is 1073624839. The last update date is 2007-07-08.

Bethany Lesch Grubb's current location address is 3450 W Wheatland Rd, Dallas, Texas. You can contact this provider via phone number 9722838979 and fax number 9722838988. The mailing address for Bethany Lesch Grubb is 3450 W Wheatland Rd, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Bethany Lesch Grubb
Address 3450 W Wheatland Rd, Dallas, Texas
Phone Number 9722838979
Fax Number 9722838988
Sole Proprietor Y
Credentials PA-C, MPAS

NPI Number Detail

NPI Number 1073624839
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3450 W Wheatland Rd
City Dallas
State Texas (TX)
Post Code 752373470
Phone Number 9722838979
Fax Number 9722838988

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA03447
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Bethany Lesch Grubb

What is the unique 10-digit identification code issued to Bethany Lesch Grubb by the Centers for Medicare & Medicaid Services?

The Bethany Lesch Grubb has been assigned the NPI (National Provider Identifier) 1073624839 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Bethany Lesch Grubb is physically located?

The Bethany Lesch Grubb is physically situated at the following address: 3450 W Wheatland Rd, Dallas, TX, 752373470.

What is the area of specialization for Bethany Lesch Grubb, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bethany Lesch Grubb is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1073624839 to Bethany Lesch Grubb?

The Bethany Lesch Grubb received its 1073624839 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.

When was the information regarding Bethany Lesch Grubb, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bethany Lesch Grubb, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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