Individual
REBECCA SUE GRUCHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2866
(214) 648-9102
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-2866
(214) 648-9102
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
H5240
TX
Other
Enumeration date
03/16/2006
Last updated
01/31/2008
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