MEDICARE: GRAMERCY SPECIALTY CLINIC PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	2084P0800X	Psychiatry Physician
3	251B00000X	Case Management Agency
4	261QM0850X	Adult Mental Health Clinic/Center
5	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1922419324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAMERCY SPECIALTY CLINIC PLLC

Provider Business Mailing Address
First Line	:	4009 BANISTER LN STE 355
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7040
Country	:	US
Telephone Number	:	512-777-2686
Fax Number	:

Provider Business Practice Location Address
First Line	:	4009 BANISTER LN STE 355
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7040
Country	:	US
Telephone Number	:	512-777-2686
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ELIZABETH ALEGRIA
Credential	:
Telephone Number	:	512-777-2686

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	01/11/2024

Similar Medicare Providers

1417760307 — FRONTIER SLEEP MANAGEMENT LLC
Practice Location Address:

4009 BANISTER LN STE 370
AUSTIN, TX
78704-7040

Practice Phone: 512-215-4350
Practice Fax: 512-647-6367

1194755876 — HEART TO HEART HOSPICE OF AUSTIN LTD
Practice Location Address:

4009 BANISTER LN , SUITE 100
AUSTIN, TX
78704-7040

Practice Phone: 512-707-2600
Practice Fax: 512-707-2688

1992041354 — VANESSA FALKENBERG GALLAGHER LPC-S
Practice Location Address:

4009 BANISTER LN , SUITE 356
AUSTIN, TX
78704-7040

Practice Phone: 512-745-1957
Practice Fax: 512-306-8086

1841539426 — MS. THERESA A. BUZEK LPC-S
Practice Location Address:

4009 BANISTER LN , STE 356
AUSTIN, TX
78704-7040

Practice Phone: 512-468-9959
Practice Fax: 512-292-9388

1619356458 — MRS. SYDNEY MCQUADE MED, LPC-S
Practice Location Address:

4009 BANISTER LN STE 355
AUSTIN, TX
78704-7040

Practice Phone: 512-712-2662
Practice Fax:

1780051623 — GRAMERCY SPECIALTY CLINIC
Practice Location Address:

4009 BANISTER LN STE 355
AUSTIN, TX
78704-7040

Practice Phone: 512-766-2686
Practice Fax:

Directions to “GRAMERCY SPECIALTY CLINIC PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.