Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GRACIA MEDICAL, LLP
Active
Organization
GRACIA MEDICAL, LLP
Active
Other names
Bohman Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID KEEFAUVER (MANAGING PARTNER)
(361) 275-2381
Entity
Organization
Contact information
Practice address
2500 N ESPLANADE ST STE 101, CUERO, TX 77954-4727
(361) 275-2381
(361) 275-2431
Mailing address
2500 N ESPLANADE ST STE 101, CUERO, TX 77954-4727
(361) 275-2381
(361) 275-2431
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
—
170895008
—
TX
05
—
170895009
—
TX
Enumeration date
11/01/2006
Last updated
08/31/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up