Superior Grace Enterprise LLC

NPI #1124552864 in Forney, Texas

Provider Information

NPI Number
1124552864
Entity Type
Organization
Organization Name
Superior Grace Enterprise LLC
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Apr 19, 2017
Last Updated
Apr 19, 2017

Practice Location

Address
2005 BISHOP DR
City
Forney
State
Texas
ZIP Code
75126-4058
Phone
(214) 886-9766

Authorized Official

Name
SARAH MOORE, LSA
Title
OWNER
Phone
(214) 886-9766

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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