Organization
MEDIGENCE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK GROSETH (CHIEF EXECUTIVE OFFICER)
(214) 675-6762
Entity
Organization
Contact information
Practice address
6600 CHASE OAKS BLVD STE 150, PLANO, TX 75023-2383
(817) 313-4507
Mailing address
6600 CHASE OAKS BLVD STE 150, PLANO, TX 75023-2383
(817) 313-4507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
05/17/2024
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