Promed Preferred PA Professional Corporation

NPI #1942023908 in Alpine, Texas

Provider Information

NPI Number: 1942023908
Entity Type: Organization
Organization Name: Promed Preferred PA Professional Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Nov 6, 2024
Last Updated: Nov 6, 2024

Practice Location

Address: 1003 LOOP RD
City: Alpine
State: Texas
ZIP Code: 79830-3229
Phone: (615) 499-3165

Authorized Official

Name: LEV GRINMAN, MD
Title: OWNER
Phone: (615) 499-3165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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