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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHEPHERDS GATE LIFE CHANGING CENTER

Active Organization

SHEPHERDS GATE LIFE CHANGING CENTER is a Primary Care Clinic organization located in GRAND PRAIRIE, Texas. NPI 1326004482 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · GRAND PRAIRIE, TX

Registration Details

NPI Number
1326004482
Provider Type
Organization
NPI Issued
Apr 26, 2006 (20.323080100394 yrs)
Last Updated
Jun 20, 2011
License
PA01240 (TX)

Practice Information

Address
817 W PIONEER PKWY
SUITE 146B
GRAND PRAIRIE, TX, 750514710
Browse TX providers · Browse ZIP 75051
Phone
9725225665
Fax
9725225605
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.