| Dewitt Medical District | |
|
508 N Riedel St Yorktown TX 78164-1810 | |
| (361) 564-9230 | |
| Not Available |
| Full Name | Dewitt Medical District |
|---|---|
| Speciality | Clinic/Center |
| Location | 508 N Riedel St, Yorktown, Texas |
| Authorized Official Name and Position | Greg S Pritchett (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3612756191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Medical District 508 N Riedel St Yorktown TX 78164-1810 Ph: (361) 564-9230 | Dewitt Medical District 508 N Riedel St Yorktown TX 78164-1810 Ph: (361) 564-9230 |
| NPI Number | 1821422551 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 04/21/2021 |
| Medicare PECOS PAC ID | 3072421395 |
|---|---|
| Medicare Enrollment ID | O20160111001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821422551 | NPI | - | NPPES |
| 369552001 | Medicaid | TX | |
| 369552002 | Medicaid | TX | |
| 369552003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Gracia Medical, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 N Riedel St, Yorktown, TX 78164 Phone: 361-564-3383 Fax: 361-564-4224 |