Organization
GREATER SOUTHWEST MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRBY HUNTER JR. M.D. (ADMINISTRATOR)
(817) 488-0100
Entity
Organization
Contact information
Practice address
815 IRA E WOODS AVE, 200, GRAPEVINE, TX 76051-4008
(817) 488-0100
(817) 488-4568
Mailing address
815 IRA E WOODS AVE, 200, GRAPEVINE, TX 76051-4008
(817) 488-0100
(817) 488-4568
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
F0809323
TX
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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