Organization
GLENEAGLES SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH A GRAFF MD (DPM)
(142) 205-1078
Entity
Organization
Contact information
Practice address
2633 DALLAS PKWY STE 100, PLANO, TX 75093-4715
(972) 403-7733
(972) 403-7744
Mailing address
2633 DALLAS PKWY STE 100, PLANO, TX 75093-4715
(972) 403-7733
(972) 403-7744
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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