Individual
CAROL GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 HOUSTON, RUSK, TX 75785-1806
(409) 766-0394
Mailing address
127 HOUSTON, RUSK, TX 75785-1806
(409) 766-0394
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
41393950
TX
Other
Enumeration date
03/07/2022
Last updated
03/13/2022
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