Organization
AMAZING GRACE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNABELLE WHALEN MSN, FNP-BC (ADMINISTRATOR)
(956) 324-2289
Entity
Organization
Contact information
Practice address
903 E EISTETTER ST, LAREDO, TX 78041-5054
(956) 324-2289
Mailing address
9040 LADY DI LOOP, LAREDO, TX 78045-8042
(956) 324-2289
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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