| Gracia Medical, Llp | |
|
508 N Riedel St Yorktown TX 78164-1810 | |
| (361) 564-3383 | |
| (361) 564-4224 |
| Full Name | Gracia Medical, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 508 N Riedel St, Yorktown, Texas |
| Authorized Official Name and Position | David Keefauver (MANAGING PARTNER) |
| Authorized Official Contact | 3612752381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracia Medical, Llp 508 N Riedel St Yorktown TX 78164-1810 Ph: (361) 564-3383 | Gracia Medical, Llp 508 N Riedel St Yorktown TX 78164-1810 Ph: (361) 564-3383 |
| NPI Number | 1619055571 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619055571 | NPI | - | NPPES |
| 170895010 | Medicaid | TX | |
| 170895011 | Medicaid | TX | |
| 170895003 | Medicaid | TX | |
| 0032LZ | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dewitt Medical District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 N Riedel St, Yorktown, TX 78164 Phone: 361-564-9230 |