Grace P Tamesis MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

K1693 Issued in TX

Legal business name

GRACE P TAMESIS MD PA

Practice address

16010 Park Valley Dr Ste 300
Grace P. Tamesis MD PA
Round Rock, TX 78681-3577

Phone

(737) 203-9645

Fax

(737) 203-9646

NPI assigned

Mar 24, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Grace P Tamesis, MD MPH

Title

Physician

Phone

(303) 601-5399

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1003278474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR STE 300",
            "address_2": "GRACE P. TAMESIS MD PA",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813577",
            "telephone_number": "737-203-9645",
            "fax_number": "737-203-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR STE 300",
            "address_2": "GRACE P. TAMESIS MD PA",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813577",
            "telephone_number": "737-203-9645",
            "fax_number": "737-203-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE P TAMESIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "TAMESIS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-601-5399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K1693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "K1693",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Ryan Gotcher, RD,LD
• Benjamin Gough
• Rupa Govindarajan, BDS,DMD
• Raquel Goytia, PNP-PC
• Grace Castillo LCSW, PLLC
• Grace Partakers Homecare LLC
• Cynthie Grace, LPC
• Holly Erin Grace
• Kathleen Susan Grady-Greene, ARNP
• Marcel Albert Graf, AA-C

• Clinic/Center in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.