Provider Demographics
NPI:1225729973
Name:DREWGRACE ENTERPRISES LLC
Entity Type:Organization
Organization Name:DREWGRACE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OFFICE MANAGER NP
Authorized Official - Prefix:
Authorized Official - First Name:MINIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:214-566-8824
Mailing Address - Street 1:811 E PLANO PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6860
Mailing Address - Country:US
Mailing Address - Phone:214-566-8824
Mailing Address - Fax:972-423-2277
Practice Address - Street 1:811 E PLANO PKWY STE 108
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6860
Practice Address - Country:US
Practice Address - Phone:214-566-8824
Practice Address - Fax:972-423-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's HealthGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty