MEDICARE: TOUCH OF GRACE FAMILY MEDICINE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1104465236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCH OF GRACE FAMILY MEDICINE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 176
Second Line	:
City	:	EULESS
State	:	TX
Zip	:	76039-0176
Country	:	US
Telephone Number	:	682-272-4268
Fax Number	:	682-282-3018

Provider Business Practice Location Address
First Line	:	4255 PLEASANTVIEW DR. SUITE 210
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-7601
Country	:	US
Telephone Number	:	817-765-2104
Fax Number	:	817-765-2172

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. BRANDY R ROBINSON
Credential	:	MD
Telephone Number	:	682-272-4268

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	11/01/2022

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