Graceland Family Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N6547 Issued in TX

Legal business name

GRACELAND FAMILY CARE PLLC

Practice address

2212 N 1St St Ste E
Carrizo Springs, TX 78834-2036

Phone

(830) 876-5055

Fax

(830) 876-5050

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Remigius Okea, MDNPI 1235334624

Title

Director

Phone

(972) 277-1850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Remigius Nwabueze Okea, MD

  • Family Medicine Physician
  • Carrizo Springs, TX
  • NPI 1235334624
  Medicare reassignment NPD Authorized official
• Celyn Ijeoma Hughes, FNP-BC, RN

  • Family Nurse Practitioner
  • Coos Bay, OR
  • NPI 1558862151
  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1912296252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 N 1ST ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788342036",
            "telephone_number": "830-876-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 N 1ST ST STE E",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788342036",
            "telephone_number": "830-876-5055",
            "fax_number": "830-876-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "OKEA",
        "authorized_official_first_name": "REMIGIUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-277-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abelardo Sabangan Doria, MD
• DRH Women'S Clinic P.a
• Fresenius Medical Care San Antonio, LLC
• Debra Lee Gonzalez, FNP-BC
• Michael Gonzalez
• H-E-B, LP
• Richard Joseph Haley, DDS BA
• James T. Havalda, M.D.
• Juan Hernandez III
• Holy Savior Hospice LLC

• Family Medicine Physician in Carrizo Springs, TX
• Providers in Carrizo Springs, 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 Jan 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.