Individual
DR. GRACE C VANESKO
Active
Individual
DR. GRACE C VANESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J2395
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118020001
—
TX
01
—
82W276
BCBS
TX
Enumeration date
12/19/2005
Last updated
05/16/2013
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