Organization
DRA HEALTH SERVICES OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN GRANT (OWNER - PRESIDENT)
(214) 783-6769
Entity
Organization
Contact information
Practice address
2600 E SOUTHLAKE BLVD STE 120-210, SOUTHLAKE, TX 76092-6634
(800) 584-1671
(817) 745-1232
Mailing address
2600 E SOUTHLAKE BLVD STE 120-210, SOUTHLAKE, TX 76092-6634
(800) 584-1671
(817) 745-1232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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