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NPI Code Detail

MEDICARE: TRINITY GRACE CRAIN

MEDICARE: TRINITY GRACE CRAIN
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
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1871457903
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINITY GRACE CRAIN
Provider Business Mailing Address
First Line : 601 PESHTIGO RD
Second Line :
City : JUSTIN
State : TX
Zip : 76247-2372
Country : US
Telephone Number : 903-278-6378
Fax Number :
Provider Business Practice Location Address
First Line : 4491 LONG PRAIRIE RD STE 300
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2012
Country : US
Telephone Number : 903-278-6378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ TRINITY GRACE CRAIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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