Provider Demographics
NPI:1275341950
Name:GRACE HEALTH INC
Entity type:Organization
Organization Name:GRACE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEBUEZE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:469-831-0976
Mailing Address - Street 1:301 S SHERMAN ST STE 114
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4176
Mailing Address - Country:US
Mailing Address - Phone:469-831-0976
Mailing Address - Fax:
Practice Address - Street 1:301 S SHERMAN ST STE 114
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4176
Practice Address - Country:US
Practice Address - Phone:469-831-0976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty