Gracia Medical, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACIA MEDICAL, LLP

Doing business as

Yorktown Medical Clinic

Practice address

508 N Riedel St
Yorktown, TX 78164-1810

Phone

(361) 564-3383

Fax

(361) 564-4224

NPI assigned

Nov 1, 2006

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

• Yorktown Medical Clinic Doing business as

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1619055571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N RIEDEL ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641810",
            "telephone_number": "361-564-3383",
            "fax_number": "361-564-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N RIEDEL ST",
            "city": "YORKTOWN",
            "state": "TX",
            "postal_code": "781641810",
            "telephone_number": "361-564-3383",
            "fax_number": "361-564-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIA MEDICAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895010",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895011",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170895003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0032LZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yorktown Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dewitt Medical District
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• Golden Days Villa Inc
• Summer Hahn, RN, FNP-C
• Kelly Deanne Hobbs, LPC ASSOCIATE
• Kelly Dean Hranicky, LVN
• Kraege Drug Store
• Alyce Yvonne Martin, LPC

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