Manuel Griego Jr DO PA
Family Medicine in Dallas, TX. Organization (NPI-2).
NPI number1861692725
StatusActive
Last updated in NPPESJul 19, 2007
Details
- NPI
- 1861692725
- Entity type
- Organization (NPI-2)
- Legal business name
- Manuel Griego Jr DO PA
- Organization subpart
- No
- Enumeration date
- Jul 19, 2007
- Last updated
- Jul 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | F1604 | TX | Yes |
Other names
- Plaza Medical Centre (Doing Business As)
Practice location
700 N Pearl StSuite N208
Dallas, TX 75201-2824
Phone 214-999-9355
Mailing address
1421 Main StreetSuite 905
Dallas, TX 75202
Phone 214-580-7277
Authorized official
Carole Ann Barnett
Practice Administrator
2145807277
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