Individual
GRACE MARIE MOOKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 W 15TH ST STE 200, PLANO, TX 75075-7736
(972) 379-2416
(972) 867-1018
Mailing address
3801 W 15TH ST STE 200, PLANO, TX 75075-7736
(972) 379-2416
(972) 867-1018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
Q7431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8HF612
BLUE CROSS
TX
Enumeration date
05/22/2012
Last updated
05/23/2024
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