Yorktown Medical Clinic

LBN: Gracia Medical, Llp
Yorktown Medical Clinic is an health care organization with primary practice located at 508 N Riedel St , Yorktown TX 78164-1810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gracia Medical, Llp can be contacted via phone (361) 564-3383, or through Keefauver, David via phone (361) 275-2381.

Contact Information

Primary practice address
508 N Riedel St Yorktown TX 78164-1810
Fax: (361) 564-4224
Website:
Authorized official contact:
Name: Keefauver, David

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1619055571
LBN Legal business name Gracia Medical, Llp
DBA Doing business as Yorktown Medical Clinic
Authorized official Keefauver, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 31st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619055571 NPPES
Texas MEDICAID 170895010
Texas MEDICAID 170895011
Texas MEDICAID 170895003
Texas Other 0032LZ

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