Charles Gravely is a Medical in Dallas, Texas. Charles Gravely practices all healthcare services and medical treatments related to Medical. The NPI Number for Charles Gravely is 1235307307. The last update date is 2012-02-15.
Charles Gravely's current location address is 11910 Greenville Ave, Dallas, Texas. You can contact this provider via phone number 2145721124 and fax number 2145727724. The mailing address for Charles Gravely is 11910 Greenville Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Gravely |
|---|---|
| Address | 11910 Greenville Ave, Dallas, Texas |
| Phone Number | 2145721124 |
| Fax Number | 2145727724 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1235307307 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2012-02-15 |
Provider Mailing Address Detail
| Address | 11910 Greenville Ave |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752433596 |
| Phone Number | 2145721124 |
| Fax Number | 2145727724 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA02247 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Charles Gravely's 1235307307?
The Charles Gravely's NPI (National Provider Identifier) Number is 1235307307. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charles Gravely?
The Charles Gravely is physically situated at 11910 Greenville Ave, in the city of Dallas, state of TX, with the postal code 752433596.
What is the area of specialization for Charles Gravely, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Gravely is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date was the 1235307307 assigned to Charles Gravely?
The Charles Gravely was issued its 1235307307 on 2008-02-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Charles Gravely most recently updated or refreshed?
The details pertaining to the Charles Gravely, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-15.