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104 Grapevine Hwy Ste 400 Hurst TX 76054-2438 | |
(817) 458-2400 | |
(817) 485-2475 |
Full Name | |
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Speciality | General Practice |
Location | 104 Grapevine Hwy Ste 400, Hurst, Texas |
Authorized Official Name and Position | Michael Alan Ganschow (OWNER) |
Authorized Official Contact | 8177642291 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1066 Colleyville TX 76034-1066 Ph: (817) 485-2400 | 104 Grapevine Hwy Ste 400 Hurst TX 76054-2438 Ph: (817) 458-2400 |
NPI Number | 1194357293 |
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Provider Enumeration Date | 02/06/2020 |
Last Update Date | 06/03/2020 |
Identifier | Type | State | Issuer |
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1194357293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Diagnostex Consultants Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Grapevine Hwy, Ste. 106, Hurst, TX 76054 Phone: 817-514-6271 Fax: 817-514-6278 | |
Che Chiropractic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 W Harwood Rd, Hurst, TX 76054 Phone: 817-734-4732 | |
Texas Primary Care Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054 Phone: 817-369-3990 Fax: 817-514-1901 |