Organization
REGENCY AMBULATORY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY GRANADOS (MD)
(888) 559-2666
Entity
Organization
Contact information
Practice address
8409 PICKWICK LN # 237, DALLAS, TX 75225-5323
(888) 559-2666
(903) 454-2257
Mailing address
8409 PICKWICK LN # 237, DALLAS, TX 75225-5323
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
06/12/2015
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