Organization
GGG MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR GREBENNIKOV MD (OWNER)
(972) 495-4926
Entity
Organization
Contact information
Practice address
870 N COIT RD STE 2660, RICHARDSON, TX 75080-6215
(972) 235-2459
(972) 235-9435
Mailing address
870 N COIT RD STE 2660, RICHARDSON, TX 75080-6215
(972) 235-2459
(972) 235-9435
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K9291
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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