| Betty Chung Grasty Md Pa | |
|
701 Tuscan Suite 235 Irving TX 75039-3834 | |
| (972) 409-0015 | |
| Not Available |
| Full Name | Betty Chung Grasty Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 Tuscan, Irving, Texas |
| Authorized Official Name and Position | Betty Chung Grasty (PRESIDENT) |
| Authorized Official Contact | 9724090015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty Chung Grasty Md Pa 4308 Fairway Dr Carrollton TX 75010-3232 Ph: (972) 409-0015 | Betty Chung Grasty Md Pa 701 Tuscan Suite 235 Irving TX 75039-3834 Ph: (972) 409-0015 |
| NPI Number | 1275713000 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275713000 | NPI | - | NPPES |
| 0059JQ | Other | BCBS | |
| R0119630 | Other | TX | DPS |
| L1871 | Other | TX | TX LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1871 (Texas) | Primary |
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