Grace Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE FAMILY MEDICINE PLLC

Practice address

712 N Houston Ave Ste a
New Braunfels, TX 78130-4132

Phone

(830) 660-6166

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. John Young Lee, MDNPI 1255367108

Title

Owner

Phone

(830) 358-2224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• John Y Lee, M.D.

  • Family Medicine Physician
  • New Braunfels, TX
  • NPI 1255367108
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1972115848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N HOUSTON AVE STE A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304132",
            "telephone_number": "830-660-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N HOUSTON AVE STE A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304132",
            "telephone_number": "830-660-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-358-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Filomeno P Gonzalez Jr., MD
• Valerie Hobbs Gonzalez
• Victoria Gonzalez
• Yadira Gonzalez
• James D Gossett, DDS
• Tiffany Grace-Moody, LCSW
• Robert S Graebe, M.D.
• Erin Graham, LPC
• Kathy Grainger
• Brittni Granchelli, PT, DPT

• Family Medicine Physician in New Braunfels, TX
• Providers in New Braunfels, 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 Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.