Organization
GRANBURY INTERNAL MEDICINE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL DEAN BARNES D.O. (PRESIDENT, GIMA,PC)
(817) 573-8805
Entity
Organization
Contact information
Practice address
1318 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-8805
(817) 279-9515
Mailing address
1318 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-8805
(817) 279-9515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0825960-01
—
TX
Enumeration date
06/24/2006
Last updated
11/10/2009
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