Charles Mack Grubb, P.A.

NPI #1366484354 in Irving, Texas

Provider Information

NPI Number: 1366484354
Entity Type: Individual
Name: Charles Mack Grubb, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 12, 2006
Last Updated: May 22, 2024

Practice Location

Address: 6750 N MACARTHUR BLVD STE 350
City: Irving
State: Texas
ZIP Code: 75039-2484
Phone: (972) 556-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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