MANUEL GRIEGO JR. DO PA
Physical Therapy at Hampton Rd, Dallas, TX

License number
Texas F1604
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: MANUEL GRIEGO JR. DO
Title: CEO/PRESIDENT
Phone: (214) 580-7277
Address
Address
2701 S Hampton Rd SUITE 104, Dallas, TX 75224
National Provider ID: 1952500142
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MANUEL GRIEGO, JR., D.O., PA

Cypress Mill, TX  -  Dallas, TX

Industry:
Osteopathic Physician's Office
Registration:
Jul 5, 1983
Phone:
(214) 580-7277 (Phone)
Addresses:
1144 Indian Mound Rd, Spicewood, TX 78669 (Mailing)
1412 Main St, Dallas, TX 75202
State ID:
0080916603
Business type:
Professional Association
President , Member , Director:
Manuel Griego (President , Member , Director)
Agent:
Manuel Griego Jr., D.o,1144 Indian Mound Rd, Spicewood, TX 78669 (Physical)
TIN:
32036040171

Manuel Griego Jr. DO PA

3116 Martin L King Jr Blvd, Dallas, TX 75215

Status:
Inactive
Industry:
Osteopathic Physician's Office
Chief Executive Officer, President, Principal:
Manuel Griego Chief Executive Officer, President, Principal, inactive

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