# GRAPEVINE RHEUMATOLOGY CLINIC,LLC

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

## Provider details

- **NPI number:** 1083963201
- **Authorized official:** DR. UZMA A SYEDA M.D. (PRESIDENT)
- **Authorized official phone:** (312) 451-3452

## Contact information

- **Practice address:** 210 N PARK BLVD, SUITE 107, GRAPEVINE, TX 76051-6985
- **Practice address phone:** (817) 224-2215
- **Practice address fax:** (817) 796-1500
- **Mailing address:** PO BOX 3767, GRAPEVINE, TX 76099-3767
- **Mailing address phone:** (312) 451-3452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | P2540 | TX | Yes |

## Other

- **Enumeration date:** 09/04/2012
- **Last updated:** 09/04/2012