Organization
GRAND PRAIRIE PROFESSIONAL GROUP, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A. CALARCO DO (FACILITY CEO)
(615) 712-5862
Entity
Organization
Contact information
Practice address
1171 107TH ST, GRAND PRAIRIE, TX 75050-2502
(615) 727-8387
(615) 457-8094
Mailing address
200 POWELL PL, ATTN: LEGAL DEPARTMENT, BRENTWOOD, TN 37027-7514
(615) 732-1605
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
E1948
TX
Other
Enumeration date
04/18/2012
Last updated
08/25/2021
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