Individual
CHANEY GRUNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
515 W MAYFIELD RD, SUITE 102, ARLINGTON, TX 76014-2083
(817) 333-3300
(817) 759-7027
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
(817) 882-8053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345147801
—
TX
05
—
345147802
—
TX
01
—
8493NN
BCBS
—
Enumeration date
09/03/2014
Last updated
02/06/2025
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