Individual
CHARLES MACK GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6750 N MACARTHUR BLVD STE 350, IRVING, TX 75039-2484
(972) 556-1616
(972) 556-1740
Mailing address
6750 N MACARTHUR BLVD STE 350, IRVING, TX 75039-2484
(972) 556-1616
(972) 556-1740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03541
TX
Other
Enumeration date
06/12/2006
Last updated
05/22/2024
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