Organization
GRAPEVINE RHEUMATOLOGY CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UZMA A SYEDA M.D. (PRESIDENT)
(312) 451-3452
Entity
Organization
Contact information
Practice address
210 N PARK BLVD, SUITE 107, GRAPEVINE, TX 76051-6985
(817) 224-2215
(817) 796-1500
Mailing address
PO BOX 3767, GRAPEVINE, TX 76099-3767
(312) 451-3452
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
P2540
TX
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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