Individual
MARLA FAYE GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1261 W GREEN OAKS BLVD STE 105, ARLINGTON, TX 76013-8349
(817) 451-4818
(817) 451-4828
Mailing address
8129 COLBI LN, FORT WORTH, TX 76120-5636
(440) 915-6204
(817) 451-4828
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80225
TX
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1D5546
MEDICARE
TX
05
—
411489401
—
TX
Enumeration date
06/11/2010
Last updated
05/30/2025
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