Organization
ASTHMA CARE TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE E GRADEL RRT (CLINICAL DIRECTOR)
(817) 885-7701
Entity
Organization
Contact information
Practice address
500 8TH AVENUE, SUITE 110, FORT WORTH, TX 76104
(817) 885-7701
(817) 885-7702
Mailing address
500 8TH AVENUE, SUITE 110, FORT WORTH, TX 76104
(817) 885-7701
(817) 885-7702
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17904040102
—
TX
Enumeration date
09/28/2006
Last updated
08/22/2020
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