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NPI Code Detail

MEDICARE: GRACE MCCREA MD

MEDICARE: GRACE MCCREA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225971328
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE MCCREA MD
Provider Business Mailing Address
First Line : 823 CAMDEN ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78215-1446
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAYLOR PLZ
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 713-798-8070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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