Organization
BY HIS GRACE HOUSECALLS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN NP (OWNER)
(662) 401-2291
Entity
Organization
Contact information
Practice address
2305 OAK LN STE 106, GRAND PRAIRIE, TX 75051
(972) 393-3343
(972) 449-0490
Mailing address
3148 SERPIS, GRAND PRAIRIE, TX 75054
(662) 401-2291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128961
TX
Other
Enumeration date
10/15/2015
Last updated
06/09/2018
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