Organization
SIMON'S HEART P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA CHANELLE SMITH (DIRECTOR OF CASE MANAGEMENT)
(972) 606-4908
Entity
Organization
Contact information
Practice address
2846 ALCOTT LN, GRAND PRAIRIE, TX 75052-8345
(972) 606-4908
Mailing address
2580 W CAMP WISDOM RD, SUITE 100 - #137, GRAND PRAIRIE, TX 75052-3088
(972) 606-4908
(972) 606-4908
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
578436
TX
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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