Healthcare Provider Details

I. General information

NPI: 1912812124
Provider Name (Legal Business Name): TRUGRACE MEDICAL CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

IV. Provider business mailing address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

V. Phone/Fax

Practice location:
  • Phone: 346-730-9553
  • Fax: 844-539-0386
Mailing address:
  • Phone: 346-730-9553
  • Fax: 844-539-0386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MACQUALINE MONKIYA TRIPLETT
Title or Position: HEALTHCARE PROVIDER
Credential: DNP-BC
Phone: 346-730-9553