Gravely, Charles

Gravely, Charles is an individual health care provider with primary practice located at 11910 Greenville Ave Suite 500, Dallas TX 75243-3596. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gravely, Charles can be contacted via phone (214) 572-1124.

Contact Information

Primary practice address
11910 Greenville Ave Suite 500 Dallas TX 75243-3596
Phone: (214) 572-1124
Fax: (214) 572-7724
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02247 Texas

Profile Details

NPI number 1235307307
LBN Legal business name Gravely, Charles
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 15th, 2012 - about 13 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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