Organization
ETHICUS HOSPITAL-GRAPEVINE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L MASS (VICE PRESIDENT)
(817) 288-1314
Entity
Organization
Contact information
Practice address
4201 WILLIAM D TATE, GRAPEVINE, TX 76051
(817) 288-1314
(817) 288-1499
Mailing address
4201 WILLIAM D TATE, GRAPEVINE, TX 76051
(817) 288-1314
(817) 288-1499
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/24/2008
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