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Organization
MUSGRAVE SPECIALIZED CARE, PLLC
Active
Organization
MUSGRAVE SPECIALIZED CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GASSAWAY (ADMINISTRATOR)
(214) 668-0414
Entity
Organization
Contact information
Practice address
3061 W SOUTHLAKE BLVD STE 130, SOUTHLAKE, TX 76092-0314
(214) 668-0414
Mailing address
251 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
06/22/2023
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