Individual
DR. BETTY CHUNG GRASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6121 N HIGHWAY 161 STE 300, IRVING, TX 75038-2270
(469) 647-4004
(469) 647-4037
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 964-0600
(214) 964-0638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443186-02
—
TX
01
—
L1871
MEDICAL LICENSE NUMBER
TX
Enumeration date
07/04/2005
Last updated
04/24/2022
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