Gracia, Mary G
Gracia, Mary G is an individual health care provider with primary practice located at 17026 Bulverde Rd Ste 105 , San Antonio TX 78247-3176. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gracia, Mary G can be contacted via phone (210) 981-5543.Contact Information
Primary practice address
17026 Bulverde Rd Ste 105
San Antonio TX 78247-3176
Phone: (210) 981-5543
Fax: (972) 980-3738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP105341 | Texas |
| Nursing Service Providers / Registered Nurse | 163W00000X | 525473 | Texas |
Profile Details
| NPI number | 1144211806 |
|---|---|
| LBN Legal business name | Gracia, Mary G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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