GRATEFUL HEART MEDICAL SERVICES PLLC
NPI 1336714708
Internal Medicine in Dallas, TX

Active since May 26, 2021
4210 FAIRMOUNT ST, DALLAS, TX 75219(469) 363-1058 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grateful Heart Medical Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRATEFUL HEART MEDICAL SERVICES PLLC (NPI 1336714708) is a healthcare organization registered as an internal medicine in Dallas, Texas and active in the NPI registry since May 2021. The organization lists Adetomiwa I Ogundere, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336714708
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRATEFUL HEART MEDICAL SERVICES PLLC
Location Address4210 FAIRMOUNT STDallas, TX 75219-3335
Mailing Address6717 Windward View DrRowlett, TX 75088-2226 · (469) 363-1058
Organization SubpartNo
Authorized OfficialAdetomiwa I OgundereCeo · (469) 363-1058
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1336714708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
4210 FAIRMOUNT ST, Dallas, TX 75219

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grateful Heart Medical Services PLLC's NPI number?

The NPI number for Grateful Heart Medical Services PLLC is 1336714708. It was assigned to this organization in the NPPES registry on May 26, 2021.

Where is Grateful Heart Medical Services PLLC located?

Grateful Heart Medical Services PLLC is located at 4210 Fairmount St, Dallas, TX 75219. The listed phone number is (469) 363-1058.

What is Grateful Heart Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Grateful Heart Medical Services PLLC was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.