| Gracia Medical, Pllc | |
|
2311 N Mesa St Ste I El Paso TX 79902-3575 | |
| (915) 544-0600 | |
| (915) 544-5374 |
| Full Name | Gracia Medical, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2311 N Mesa St Ste I, El Paso, Texas |
| Authorized Official Name and Position | Edgar I. Gracia (OWNER) |
| Authorized Official Contact | 9155440600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracia Medical, Pllc 2311 N Mesa St Ste I El Paso TX 79902-3575 Ph: (915) 544-0600 | Gracia Medical, Pllc 2311 N Mesa St Ste I El Paso TX 79902-3575 Ph: (915) 544-0600 |
| NPI Number | 1457856643 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457856643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M0095 (Texas) | Primary |
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