Organization
ACCREDIFI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIETA KAY GRISSMAN PTA (OWNER)
(817) 637-0363
Entity
Organization
Contact information
Practice address
12460 WOODS EDGE TRL, FORT WORTH, TX 76244-9408
(817) 637-0368
Mailing address
12460 WOODS EDGE TRL, FORT WORTH, TX 76244-9408
(817) 637-0368
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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