Individual
MRS. BETHANY LESCH GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
3450 W WHEATLAND RD, STE. 225, DALLAS, TX 75237-3470
(972) 283-8979
(972) 283-8988
Mailing address
9749 GATECREST DR, DALLAS, TX 75238-3314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03447
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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