DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRACIA MEDICAL, LLP

MEDICARE: GRACIA MEDICAL, LLP
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40032LZOTHERTXBCBS

General Provider Information

NPI Number : 1619055571
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACIA MEDICAL, LLP
Provider Business Mailing Address
First Line : 508 N RIEDEL ST
Second Line :
City : YORKTOWN
State : TX
Zip : 78164-1810
Country : US
Telephone Number : 361-564-3383
Fax Number : 361-564-4224
Provider Business Practice Location Address
First Line : 508 N RIEDEL ST
Second Line :
City : YORKTOWN
State : TX
Zip : 78164-1810
Country : US
Telephone Number : 361-564-3383
Fax Number : 361-564-4224
Authorized Official
Title or Position : MANAGING PARTNER
Name : DAVID KEEFAUVER
Credential :
Telephone Number : 361-275-2381
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/31/2009

Similar Medicare Providers

1063415107 — YORKTOWN EMERGENCY MEDICAL SERVICE
Practice Location Address:
508 N RIEDEL ST
YORKTOWN, TX
78164-1810
Practice Phone: 361-564-9410
Practice Fax: 361-564-9476
1437193943 — LAURA PACEK P.A.
Practice Location Address:
508 N RIEDEL ST
YORKTOWN, TX
78164-1810
Practice Phone: 361-564-9230
Practice Fax:
1710913785 — DR. GORDON BARTH D.O.
Practice Location Address:
508 N RIEDEL ST
YORKTOWN, TX
78164-1810
Practice Phone: 361-564-3383
Practice Fax: 361-564-4224
1447344635 — CAROLYN DALE DENTON D.O.
Practice Location Address:
508 N RIEDEL ST
YORKTOWN, TX
78164-1810
Practice Phone: 361-564-9230
Practice Fax: 361-564-9246
1063793123 — SUMMER HAHN RN, FNP-C
Practice Location Address:
508 N RIEDEL ST
YORKTOWN, TX
78164-1810
Practice Phone: 361-564-9230
Practice Fax: 361-564-9246
1821422551 — DEWITT MEDICAL DISTRICT
Practice Location Address:
508 N RIEDEL ST
YORKTOWN, TX
78164-1810
Practice Phone: 361-564-9230
Practice Fax:

Directions to “GRACIA MEDICAL, LLP ” 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.