# EA HEALTH PHYSICIANS MEDICAL GROUP TEXAS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063786523
- **Authorized official:** ARTHUR L GRUEN M.D. (MD/OWNER)
- **Authorized official phone:** (858) 759-4765

## Contact information

- **Practice address:** 12396 WORLD TRADE DR STE 303, SAN DIEGO, CA 92128-3792
- **Practice address phone:** (858) 759-4765
- **Practice address fax:** (858) 201-4987
- **Mailing address:** PO BOX 227257, DALLAS, TX 75222-7257
- **Mailing address phone:** (858) 759-4765
- **Mailing address fax:** (858) 201-4987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 01/09/2024