Organization
GREAT SOUTHWEST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA R GUITREAU (AGENT)
(214) 382-1909
Entity
Organization
Contact information
Practice address
643 S GREAT SOUTHWEST PKWY, SUITE 104, GRAND PRAIRIE, TX 75051-1056
(214) 363-5400
Mailing address
643 S GREAT SOUTHWEST PKWY, SUITE 104, GRAND PRAIRIE, TX 75051-1056
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
K0566
TX
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up