Vmc Grace LLC

NPI #1659045458 in Crowley, Texas

Provider Information

NPI Number: 1659045458
Entity Type: Organization
Organization Name: Vmc Grace LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 4, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 921 E FM 1187 STE A100
City: Crowley
State: Texas
ZIP Code: 76036-4363
Phone: (817) 984-7540

Authorized Official

Name: MAGGIE MANKARIOUS, PHARMD
Title: PHARMD
Phone: (817) 984-7540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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