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Organization
GRACIA MEDICAL, LLP
Active
Organization
GRACIA MEDICAL, LLP
Active
Other names
Yorktown Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEEFAUVER (MANAGING PARTNER)
(361) 275-2381
Entity
Organization
Contact information
Practice address
508 N RIEDEL ST, YORKTOWN, TX 78164-1810
(361) 564-3383
(361) 564-4224
Mailing address
508 N RIEDEL ST, YORKTOWN, TX 78164-1810
(361) 564-3383
(361) 564-4224
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
—
170895010
—
TX
05
—
170895011
—
TX
Enumeration date
11/01/2006
Last updated
08/31/2009
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