Individual
MRS. GRACE VICTORIA SPINKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1121 5TH AVE STE 100, FORT WORTH, TX 76104-4386
(817) 423-8585
Mailing address
1121 5TH AVE STE 100, FORT WORTH, TX 76104-4386
(817) 423-8585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA031739
DC
363A00000X
Physician Assistant
Primary
PA20081
TX
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2019
Last updated
03/03/2026
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