CHARLES MACK GRUBB


Address: 5501 Independence Pkwy, Suite 110, Plano, TX 75023-5463
Phone: 9725961747

CHARLES MACK GRUBB (NPI# 1366484354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366484354
Entity Type Individual
Full Name CHARLES MACK GRUBB
Credential P.A.
Practice Address 5501 Independence Pkwy
Suite 110
Plano
TX 75023-5463
Practice Telephone 9725961747
Practice Fax Number 9729859775
Mailing Telephone 9725961747
Mailing Fax Number 9729859775
Enumeration Date 2006-06-12
Last Update Date 2016-12-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA03541 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHARLES GRUBB

NPI Name Taxonomy Address Enumeration
1821460924 Charles David Grubb Pharmacist 272 Hospital Rd, Chillicothe, OH 45601-9031 2015-10-28
1083906077 Charles Carlon Grubb Pharmacist 94 Montauk Hwy Unit A, East Moriches, NY 11940-1156 2011-05-09
1780644831 Charles R Grubb Family Medicine 311 Baltimore St, Phillipsburg, NJ 08865-1841 2006-03-24

Office Location

Street Address 5501 INDEPENDENCE PKWY
SUITE 110
City PLANO
State TX
Zip Code 75023-5463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487605598 Optimum Home Health Care;inc Home Health 5501 Independence Pkwy, Suite # 304, Plano, TX 75023-5463 2006-05-13
1588143762 Wm Bolak Dmd Pllc Dentist 5501 Independence Pkwy, Plano, TX 75023-5470 2018-08-09
1467801365 Regina Powe Dentist 5501 Independence Pkwy, Suite107, Plano, TX 75023-5463 2016-06-10
1700289600 Aaaah Emergency Dental Services Clinic/Center 5501 Independence Pkwy, Suite 107, Plano, TX 75023-5463 2014-10-06
1609127356 Centre for Diagnostic and Cosmetic Dentistry, Pllc Clinic/Center 5501 Independence Pkwy, Suite 107, Plano, TX 75023-5463 2012-09-20
1669738522 Joby Thekkumkel James Internal Medicine 5501 Independence Pkwy, Ste 110, Plano, TX 75023-5463 2012-04-05
1932472396 Harley Gerard Nurse Practitioner 5501 Independence Pkwy, Suite #203, Plano, TX 75023-5463 2012-02-15
1457621641 Psychiatry Associates of Texas, P.a. Psychiatry & Neurology 5501 Independence Pkwy, Suite 302, Plano, TX 75023 2012-01-05
1376840959 North Texas Home Health Care, Inc. Home Health 5501 Independence Pkwy, Suite # 211, Plano, TX 75023-5463 2011-02-17
1477874659 J E Mobile Diagnostic Services, Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 5501 Independence Pkwy, Suite 116, Plano, TX 75023-5463 2010-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245854116 Vanessa C Eldridge Registered Nurse 1008 Lockhart Dr, Plano, TX 75023 2020-06-05
1750935573 Asistencia En Casa Therapy Service, Inc. Nursing Care 1225 Glyndon Dr., Plano, TX 75023 2019-07-30
1215420567 Vera Ngozi Anyirah Registered Nurse 3412 Grenoble Court, Plano, TX 75023 2018-06-12
1043740004 Varun Joseph Dentist 3405 Silverstone Dr Ste 100, Plano, TX 75023 2017-06-13
1902330384 Applegate Health Services, Inc Clinic/Center 3303 N. Central Expressway, Suite 210, Plano, TX 75023 2017-04-12
1821529603 Emerson Speech and Consulting Speech-Language Pathologist 6565 Independence Pkwy, Plano, TX 75023 2017-03-23
1033502018 Marquis Hines Occupational Therapy Assistant 701 Legacy Dr Apt 1224, Plano, TX 75023 2015-03-14
1811386303 Gn Medical Center, Inc. Clinic/Center 3415 Custer Rd., Ste 100, Plano, TX 75023 2015-01-21
1568850899 Parvaneh Yancheshmeh Azimi Nurse Practitioner 2045 Hawken Dr, Plano, TX 75023 2015-01-09
1568866358 Byungwon Choi Chiropractor 2050 W. Spring Creek Pkwy Suite 208, Plano, TX 75023 2014-10-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508472697 Amna Dhanani Physician Assistant 2100 Hedgcoxe Rd Ste 140, Plano, TX 75025-3100 2020-09-23
1538717582 Jenna Kelly Physician Assistant 3408 Walington Dr, Plano, TX 75093-7447 2019-09-03
1568016137 Virtex Assist, Pllc Physician Assistant 101 E Park Blvd Suite 600, Plano, TX 75074 2019-07-31
1275199002 The Kim Tran Physician Assistant 6130 W Parker Rd Ste 103, Plano, TX 75093-7910 2019-05-16
1619433315 Jennifer Perez Physician Assistant 1700 Alma Dr Ste 450, Plano, TX 75075-6986 2019-02-18
1396214052 Tu Cam Bui Forkner Physician Assistant 3804 W 15th St Ste 140, Plano, TX 75075 2018-11-24
1821567678 Collaborative Surgical Services, Pllc Physician Assistant 2024 W 15th St Ste F #328, Plano, TX 75075-7364 2018-11-21
1528540366 Christen Leah Reamy Physician Assistant 3809 W 15th St Ste A, Plano, TX 75075-7765 2018-08-29
1568965051 Vital Assistance, Pllc Physician Assistant 2024 W 15th St Ste F # 327, Plano, TX 75075-7364 2018-03-12
1609313139 Kristen Ann Walls Physician Assistant 4001 W 15th St Ste 100, Plano, TX 75093-5837 2017-01-23
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Competitor

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City PLANO
Zip Code 75023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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