Grace Pain & Wellness Pllc

NPI #1508683202 in Plano, Texas

Provider Information

NPI Number: 1508683202
Entity Type: Organization
Organization Name: Grace Pain & Wellness Pllc
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Sep 24, 2024
Last Updated: Sep 24, 2024

Practice Location

Address: 6101 W PLANO PKWY STE 200
City: Plano
State: Texas
ZIP Code: 75093-8373
Phone: (404) 354-0153

Authorized Official

Name: DR. ANTHONY THADDEUS CLAVO, MD
Title: MEDICAL DIRECTOR
Phone: (404) 354-0153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health & Wellness Coach	171400000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Clinic/Center - Pain — Pain	261QP3300X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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