Organization
GRAPEVINE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS MARCIAL DC (OWNER)
(972) 900-1780
Entity
Organization
Contact information
Practice address
2011 W NORTHWEST HWY STE 130, GRAPEVINE, TX 76051-7853
(817) 618-4108
(817) 618-4118
Mailing address
2011 W NORTHWEST HWY STE 130, GRAPEVINE, TX 76051-7853
(817) 618-4108
(817) 618-4118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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