# GREATER SOUTHWEST MEDICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1750632675
- **Authorized official:** DR. IRBY HUNTER JR. M.D. (ADMINISTRATOR)
- **Authorized official phone:** (817) 488-0100

## Contact information

- **Practice address:** 815 IRA E WOODS AVE, 200, GRAPEVINE, TX 76051-4008
- **Practice address phone:** (817) 488-0100
- **Practice address fax:** (817) 488-4568
- **Mailing address:** 815 IRA E WOODS AVE, 200, GRAPEVINE, TX 76051-4008
- **Mailing address phone:** (817) 488-0100
- **Mailing address fax:** (817) 488-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | F0809323 | TX | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012