VMC Grace LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VMC GRACE LLC

Doing business as

Gateway Health Solutions

Practice address

921 E FM 1187 Ste A100
Crowley, TX 76036-4363

Phone

(817) 984-7540

Fax

(817) 297-2010

NPI assigned

Aug 4, 2021

Last updated

Sep 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maggie Mankarious, PHARMD

Title

Pharmd

Phone

(817) 984-7540

Specialties & licenses 1

Addresses

Other names 1

• Gateway Health Solutions Doing business as

Locations

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1659045458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E FM 1187 STE A100",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364363",
            "telephone_number": "817-984-7540",
            "fax_number": "817-297-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FM 1187 STE A100",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364363",
            "telephone_number": "817-984-7540",
            "fax_number": "817-297-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMC GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "MANKARIOUS",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "817-984-7540",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3631)
• Wal-Mart Stores Texas LP (Wal-Mart Vision Center 30-3631)
• Walgreen Co (Walgreens #09023)
• Lakeisha Mills Walker, MSN, APRN, PMHNP-BC
• Kimberly J Warner

• Family Medicine Physician in Crowley, TX
• Providers in Crowley, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.