Gracia Medical, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACIA MEDICAL, LLP

Doing business as

Kenedy Family Practice and Obstetrics

Practice address

113 W Main St
Kenedy, TX 78119-2717

Phone

(830) 583-3711

Fax

(830) 583-3729

NPI assigned

Nov 2, 2006

Last updated

Aug 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Keefauver

Title

Managing Partner

Phone

(361) 275-2381

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Kenedy Family Practice and Obstetrics Doing business as

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1124107164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781192717",
            "telephone_number": "830-583-3711",
            "fax_number": "830-583-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781192717",
            "telephone_number": "830-583-3711",
            "fax_number": "830-583-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIA MEDICAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "KEEFAUVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "361-275-2381"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032LZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenedy Family Practice and Obstetrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Wade Phelps
• Frontier Pharmacy of Kenedy Inc
• Patricia Galindo
• Patrick Alvarado Garcez, LCSW
• Rosalinda Glover, LPC
• Partapjot Singh Grewal, DDS
• H-E-B, LP (HEB Pharmacy # 693)
• Howard Wayne Hawkins Jr., D.C.
• Health & Safety Solutions, LLC (Kenedy Back & Neck Clinic)
• Viviana Herrera, PHARMD

• Family Medicine Physician in Kenedy, TX
• Providers in Kenedy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.