Individual
GRACE THOMPSON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
906 KENSINGTON DR, DUNCANVILLE, TX 75137-2138
(281) 638-1877
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
1069315
TX
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
04/12/2022
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