Valentin Gracia MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MDC06569 Issued in TX

Legal business name

VALENTIN GRACIA MD PA

Practice address

700 South Fwy
Fort Worth, TX 76104-3516

Phone

(817) 336-0446

Fax

(817) 336-0121

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Valentin Gracia, MD

Title

President

Phone

(817) 336-0446

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1356419998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043516",
            "telephone_number": "817-336-0446",
            "fax_number": "817-336-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043516",
            "telephone_number": "817-336-0446",
            "fax_number": "817-336-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTIN GRACIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-336-0446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "MDC06569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120100601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Joseph Valdez, DPT
• Christian Armando Valdez Sr.
• Diana Carol Valdez, PHD
• Amy Michelle Valencia, M.S. CCC/SLP
• Hannah Noelle Valente
• Valerie Valentine-Heath
• Charlene Valentine, OTR/L
• Eder Valenzuela
• Victor Teodoro Valenzuela
• Yolanda Valenzuela, PHD

• Plastic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.