GRAPEVINE PEDIATRIC CLINIC, PA is a medical specialty clinic center in Grapevine, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GRAPEVINE PEDIATRIC CLINIC, PA NPI is 1710010418. The provider is registered as an organization entity type.
The provider's business location address is:
1600 W COLLEGE ST STE 60
GRAPEVINE, TX
ZIP 76051-580
Phone: (817) 488-7334
Fax: (817) 421-6527
The provider's authorized official is Anthony Mark Scott .
The authorized official title is President and has the following contact phone number (817) 488-7334.
The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.