Organization
VALENTIN GRACIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTIN GRACIA MD (PRESIDENT)
(817) 336-0446
Entity
Organization
Contact information
Practice address
700 SOUTH FWY, FORT WORTH, TX 76104-3516
(817) 336-0446
(817) 336-0121
Mailing address
700 SOUTH FWY, FORT WORTH, TX 76104-3516
(817) 336-0446
(817) 336-0121
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MDC06569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120100601
—
TX
Enumeration date
12/01/2006
Last updated
09/19/2008
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