Individual
DR. SYLVIA L HARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 N BECKLEY AVE, STE #460, DALLAS, TX 75203-1259
(972) 572-6262
(972) 572-0423
Mailing address
1411 N BECKLEY AVE, STE #460, DALLAS, TX 75203-1259
(972) 572-6262
(972) 572-0423
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J6993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132680310
—
TX
01
—
5277090001
MEDICARE DME NUMBER
TX
Enumeration date
02/22/2006
Last updated
09/13/2012
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