Organization
GENESIS AMBULATORY MEDICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY GRANADOS MD (PRESIDENT)
(210) 638-1055
Entity
Organization
Contact information
Practice address
11700 PRESTON RD STE 660, DALLAS, TX 75230-2739
(888) 559-2666
Mailing address
11700 PRESTON RD STE 660, DALLAS, TX 75230-2739
(888) 559-2666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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