Organization
TEXAS GRINS FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RYAN CRAIN DDS (OWNER)
(817) 441-3232
Entity
Organization
Contact information
Practice address
136 EL CHICO TRL, SUITE 101, WILLOW PARK, TX 76087-8863
(817) 441-3232
(817) 441-2230
Mailing address
136 EL CHICO TRL, SUITE 101, WILLOW PARK, TX 76087-8863
(817) 441-3232
(817) 441-2230
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
22460
TX
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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