Organization
GRACIA MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR I. GRACIA M. D. (OWNER)
(915) 544-0600
Entity
Organization
Contact information
Practice address
2311 N MESA ST STE I, EL PASO, TX 79902-3575
(915) 544-0600
(915) 544-5374
Mailing address
2311 N MESA ST STE I, EL PASO, TX 79902-3575
(915) 544-0600
(915) 544-5374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M0095
TX
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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