Individual
GRACIA C DEL ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 W ARBROOK BLVD, ARLINGTON, TX 76015-4314
(682) 304-6000
(682) 304-6074
Mailing address
2600 E SOUTHLAKE BLVD # 120-117, SOUTHLAKE, TX 76092-6634
(817) 966-2163
(817) 400-0753
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K7521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194702001
—
TX
01
—
8AW001
BC/BS
TX
01
—
9915161
AETNA
TX
Enumeration date
05/02/2007
Last updated
07/21/2022
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