| Touch Of Grace Family Medicine Pllc | |
|
4255 Pleasantview Dr. Suite 210 Arlington TX 76017-7601 | |
| (817) 765-2104 | |
| (817) 765-2172 |
| Full Name | Touch Of Grace Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4255 Pleasantview Dr. Suite 210, Arlington, Texas |
| Authorized Official Name and Position | Brandy R Robinson (PARTNER) |
| Authorized Official Contact | 6822724268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Touch Of Grace Family Medicine Pllc Po Box 176 Euless TX 76039-0176 Ph: (682) 272-4268 | Touch Of Grace Family Medicine Pllc 4255 Pleasantview Dr. Suite 210 Arlington TX 76017-7601 Ph: (817) 765-2104 |
| NPI Number | 1104465236 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 9133556707 |
|---|---|
| Medicare Enrollment ID | O20200219002734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104465236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brandy R Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861604225 PECOS PAC ID: 1355416918 Enrollment ID: I20080815000248 |
| Provider Name | Lashanda Marie Beamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245692318 PECOS PAC ID: 1355626607 Enrollment ID: I20170328002717 |
| Provider Name | Nicole Dainese Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366050981 PECOS PAC ID: 7012309743 Enrollment ID: I20220110000569 |
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