Eighteen95, PA

NPI #1205009412 in Grapevine, Texas

Provider Information

NPI Number: 1205009412
Entity Type: Organization
Organization Name: Eighteen95, PA
Primary Specialty: Chiropractor
Enumeration Date: Apr 9, 2008
Last Updated: Oct 14, 2013

Practice Location

Address: 3500 WILLIAM D. TATE
Address 2: SUITE 175
City: Grapevine
State: Texas
ZIP Code: 76051
Phone: (817) 421-4775

Authorized Official

Name: DR. MEREDITH LYNN GRADY, DC
Title: OWNER
Phone: (817) 421-4775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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