# GRAND PRAIRIE MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1487366712
- **Authorized official:** MR. JEFFERY LOVE (DIRECTOR)
- **Authorized official phone:** (469) 607-8448

## Contact information

- **Practice address:** 2709 HOSPITAL BLVD, GRAND PRAIRIE, TX 75051-1017
- **Practice address phone:** (504) 669-7496
- **Mailing address:** 2709 HOSPITAL BLVD, GRAND PRAIRIE, TX 75051-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2022
- **Last updated:** 12/19/2022