Organization
GRACE NEUROLOGY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJANI RUTH CAESAR MD (PRESIDENT)
(469) 951-6666
Entity
Organization
Contact information
Practice address
505 N 6TH ST, LONGVIEW, TX 75601-6604
(903) 392-2307
(903) 392-2308
Mailing address
505 N 6TH ST, LONGVIEW, TX 75601-6604
(903) 392-2307
(903) 392-2308
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
03/04/2020
Last updated
11/14/2023
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