Organization
GRACE FAMILY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DAVIS (FNP-C)
(936) 645-2218
Entity
Organization
Contact information
Practice address
303 E DENMAN AVE STE A, LUFKIN, TX 75901-4090
(936) 209-4660
Mailing address
2110 S JOHN REDDITT DR STE D, LUFKIN, TX 75904-5488
(936) 209-4660
(936) 209-4660
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP144710
LICENSE NUMBER
TX
Enumeration date
02/18/2020
Last updated
12/15/2020
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