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Organization

D&J GRACE TEAM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EHAB I HANNA M.D. (OWNER)
(682) 250-5700
Entity
Organization

Contact information

Practice address
921 E FM 1187 STE A, CROWLEY, TX 76036-4364
(817) 945-1682
(682) 250-5705
Mailing address
921 E FM 1187 STE A, CROWLEY, TX 76036-4364
(682) 250-5700
(682) 250-5705

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
08/09/2012
Last updated
04/16/2026
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