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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407853674 | NPPES |
| Texas | MEDICAID | 1443186-02 | |
| Texas | Other | L1871 |
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