Healthcare Provider Details

I. General information

NPI: 1093837098
Provider Name (Legal Business Name): GRNR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 W PARKER RD STE 204
PLANO TX
75023-7352
US

IV. Provider business mailing address

1151 W PARKER RD STE 204
PLANO TX
75023-7352
US

V. Phone/Fax

Practice location:
  • Phone: 972-633-8777
  • Fax: 972-633-8779
Mailing address:
  • Phone: 972-633-8777
  • Fax: 972-633-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLORIA ELLEN WATTS
Title or Position: OWNER / PRES.
Credential:
Phone: 972-633-8777