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Organization
GRACIA MEDICAL, LLP
Active
Organization
GRACIA MEDICAL, LLP
Active
Other names
Kenedy Family Practice and Obstetrics
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEEFAUVER (MANAGING PARTNER)
(361) 275-2381
Entity
Organization
Contact information
Practice address
113 W MAIN ST, KENEDY, TX 78119-2717
(830) 583-3711
(830) 583-3729
Mailing address
113 W MAIN ST, KENEDY, TX 78119-2717
(830) 583-3711
(830) 583-3729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032LZ
BCBS
TX
05
—
170895003
—
TX
05
—
170895006
—
TX
05
—
170895007
—
TX
Enumeration date
11/02/2006
Last updated
08/31/2009
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