| Greater Southwest Medical Associates | |
|
815 Ira E Woods Avenue #200 Grapevine TX 76051 | |
| (817) 488-0100 | |
| (817) 488-4568 |
| Full Name | Greater Southwest Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 815 Ira E Woods Avenue #200, Grapevine, Texas |
| Authorized Official Name and Position | Ronald Lester (PHYSICIAN) |
| Authorized Official Contact | 8174880100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Southwest Medical Associates 815 Ira E Woods Avenue #200 Grapevine TX 76051 Ph: (817) 488-0100 | Greater Southwest Medical Associates 815 Ira E Woods Avenue #200 Grapevine TX 76051 Ph: (817) 488-0100 |
| NPI Number | 1841567658 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 11/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841567658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L2986 (Texas) | Primary |
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