Organization
EIGHTEEN95, PA
Active
Other names
Hands on Health Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEREDITH LYNN GRADY DC (OWNER)
(817) 421-4775
Entity
Organization
Contact information
Practice address
3500 WILLIAM D. TATE, SUITE 175, GRAPEVINE, TX 76051
(817) 421-4775
(817) 421-4303
Mailing address
3500 WILLIAM D. TATE, SUITE 175, GRAPEVINE, TX 76051
(817) 421-4775
(817) 421-4303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608860
BCBS
TX
01
—
8BB730
BCBS
TX
01
—
V115395
INTEGRATED HEALTH PLAN
TX
Enumeration date
04/09/2008
Last updated
10/14/2013
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