| Sea Base Medicine | |
|
1631 Lancaster Dr Ste 330 Grapevine TX 76051-3585 | |
| (972) 792-5700 | |
| Not Available |
| Full Name | Sea Base Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1631 Lancaster Dr Ste 330, Grapevine, Texas |
| Authorized Official Name and Position | John Kevin Page (OWNER) |
| Authorized Official Contact | 8173669772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Base Medicine 9330 Lbj Fwy Ste 800 Dallas TX 75243-4310 Ph: (972) 792-5700 | Sea Base Medicine 1631 Lancaster Dr Ste 330 Grapevine TX 76051-3585 Ph: (972) 792-5700 |
| NPI Number | 1790492734 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790492734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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