Organization
MANUEL GRIEGO, JR. D.O., P.A.
Active
Other names
Metroplex Rehabilitation Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL GRIEGO JR. D.O. (CEO/PRESIDENT)
(214) 580-7277
Entity
Organization
Contact information
Practice address
1412 MAIN ST, SUITE 905, DALLAS, TX 75202-4014
(214) 580-7277
(214) 580-7283
Mailing address
2701 S HAMPTON RD STE 104, DALLAS, TX 75224-2363
(214) 330-9221
(214) 231-2221
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
F1604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80266201
—
TX
01
—
F1604
TX MEDICAL LICENSE
TX
Enumeration date
01/18/2008
Last updated
01/18/2008
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