Grasty, Betty Chung

Grasty, Betty Chung is an individual health care provider with primary practice located at 6121 N Highway 161 Ste 300 , Irving TX 75038-2270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Grasty, Betty Chung can be contacted via phone (469) 647-4004.

Contact Information

Primary practice address
6121 N Highway 161 Ste 300 Irving TX 75038-2270
Phone: (469) 647-4004
Fax: (469) 647-4037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L1871 Texas

Profile Details

NPI number 1407853674
LBN Legal business name Grasty, Betty Chung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2005
Last updated Apr 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407853674 NPPES
Texas MEDICAID 1443186-02
Texas Other L1871

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