Grace Community Health LLC Inc.

NPI #1669723003 in Mt Pleasant, Texas

Provider Information

NPI Number
1669723003
Entity Type
Organization
Organization Name
Grace Community Health LLC Inc.
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 25, 2012
Last Updated
Sep 25, 2012

Practice Location

Address
2001 W FERGUSON RD
Address 2
SUITE 1000
State
Texas
ZIP Code
75455-2925
Phone
(903) 717-8712

Authorized Official

Name
MISTY BLALOCK, NP
Title
PRESIDENT
Phone
(903) 717-8712

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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