NPIMap

Organization Active NPI

Gracia Medical, PLLC

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1457856643
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M0095 Issued in TX
Legal business name
GRACIA MEDICAL, PLLC
Practice address
2311 N Mesa St Ste I
El Paso, TX 79902-3575
Phone
(915) 544-0600
Fax
(915) 544-5374
NPI assigned
Mar 28, 2018
Last updated
Mar 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Dr. Edgar I. Gracia, M. D.
Title
Owner
Phone
(915) 544-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M0095 TX Primary

Addresses

Primary practice location

2311 N Mesa St Ste I
El Paso, TX 79902-3575

Mailing address

2311 N Mesa St Ste I
El Paso, TX 79902-3575
Phone (915) 544-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1457856643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE I",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-544-0600",
            "fax_number": "915-544-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST STE I",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023575",
            "telephone_number": "915-544-0600",
            "fax_number": "915-544-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-544-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M0095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.