MEDICARE: GRACE WEPPNER

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1538728993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE WEPPNER

Provider Business Mailing Address
First Line	:	6008 RIDGECREST RD APT 440
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-9350
Country	:	US
Telephone Number	:	801-698-5635
Fax Number	:

Provider Business Practice Location Address
First Line	:	5160 VILLAGE CREEK DR STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4423
Country	:	US
Telephone Number	:	682-324-9376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	02/19/2024

Similar Medicare Providers

1053789594 — JERIMI GONZALES
Practice Location Address:

5160 VILLAGE CREEK DR STE 200
PLANO, TX
75093-4423

Practice Phone: 972-248-3553
Practice Fax:

1881176733 — GHEA ABALOS
Practice Location Address:

5160 VILLAGE CREEK DR STE 200
PLANO, TX
75093-4423

Practice Phone: 682-324-9376
Practice Fax:

1508338690 — ELEVATE HEALTHCARE, LLC
Practice Location Address:

5160 VILLAGE CREEK DR STE 100
PLANO, TX
75093-4423

Practice Phone: 214-271-9962
Practice Fax: 214-964-0817

1659960433 — ELEVATE HEALTHCARE - OKLAHOMA LLC
Practice Location Address:

5160 VILLAGE CREEK DR STE 100
PLANO, TX
75093-4423

Practice Phone: 214-271-9962
Practice Fax: 214-964-0817

1184215972 — ELEVATE HEALTHCARE - LOUISIANA LLC
Practice Location Address:

5160 VILLAGE CREEK DR STE 100
PLANO, TX
75093-4423

Practice Phone: 214-271-9962
Practice Fax:

1528638293 — ELEVATE HEALTHCARE - MESQUITE LLC
Practice Location Address:

5160 VILLAGE CREEK DR STE 100
PLANO, TX
75093-4423

Practice Phone: 214-271-9962
Practice Fax: 214-964-0817

Directions to “ GRACE WEPPNER ” 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.