| Grace Medical Care | |
|
804 S Crowley Rd Ste 12 Crowley TX 76036-3665 | |
| (817) 888-8975 | |
| (817) 888-8975 |
| Full Name | Grace Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 804 S Crowley Rd Ste 12, Crowley, Texas |
| Authorized Official Name and Position | Lawrence Alan Whaley (OWNER/PRIMARY PHYSICIAN) |
| Authorized Official Contact | 8172285837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Care 213 W County Road 714 Burleson TX 76028-6747 Ph: (817) 228-5837 | Grace Medical Care 804 S Crowley Rd Ste 12 Crowley TX 76036-3665 Ph: (817) 888-8975 |
| NPI Number | 1538515846 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 06/23/2016 |
| Medicare PECOS PAC ID | 4385931377 |
|---|---|
| Medicare Enrollment ID | O20160919001871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538515846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | TXK2627 (Texas) | Primary |
| Provider Name | Lawrence A Whaley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821006552 PECOS PAC ID: 8325931876 Enrollment ID: I20040206000725 |
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