Betty Chung Grasty MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L1871 Issued in TX

Legal business name

BETTY CHUNG GRASTY MD PA

Practice address

701 Tuscan
Suite 235
Irving, TX 75039-3834

Phone

(972) 409-0015

NPI assigned

Nov 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Betty Chung Grasty, MD

Title

President

Phone

(972) 409-0015

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1275713000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 FAIRWAY DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750103232",
            "telephone_number": "972-409-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TUSCAN",
            "address_2": "SUITE 235",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393834",
            "telephone_number": "972-409-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY CHUNG GRASTY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GRASTY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "CHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-409-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0059JQ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "R0119630",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "L1871",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.