Gracia Medical, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACIA MEDICAL, LLP

Doing business as

Nixon Family Practice and Obstetrics

Practice address

200 E 2ND St
Nixon, TX 78140-2737

Phone

(830) 582-1222

Fax

(830) 582-1362

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

• Nixon Family Practice and Obstetrics Doing business as

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": "1285713222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND ST",
            "city": "NIXON",
            "state": "TX",
            "postal_code": "781402737",
            "telephone_number": "830-582-1222",
            "fax_number": "830-582-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 2ND ST",
            "city": "NIXON",
            "state": "TX",
            "postal_code": "781402737",
            "telephone_number": "830-582-1222",
            "fax_number": "830-582-1362"
        }
    ],
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032LZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nixon Family Practice and Obstetrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amm PLLC (Nixon Family Dentistry)
• Brackettville Pharmacy, LLC (Main Drug Company)
• Dewitt Medical District (Nixon Family Practice)
• Nixon Residential Care
• Nixon Smiley Isd
• Lisa Skelton Nixon
• Maria D Ortiz, APRN, FNP-C
• Cynthia Ivonne Perez

• Family Medicine Physician in Nixon, TX
• Providers in Nixon, 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.