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Organization
GRAPEVINE PEDIATRIC CLINIC, PA
Active
Organization
GRAPEVINE PEDIATRIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY MARK SCOTT M.D. (PRESIDENT)
(817) 488-7334
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST STE 60, GRAPEVINE, TX 76051-3580
(817) 488-7334
(817) 421-6527
Mailing address
1600 W COLLEGE ST STE 60, GRAPEVINE, TX 76051-3580
(817) 488-7334
(817) 421-6527
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
TX
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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