Walter Dietrich Gracia, M.D., P.A.

LBN: Walter Dietrich Gracia, M.D., P.A.
Walter Dietrich Gracia, M.D., P.A. is an health care organization with primary practice located at 1204 5Th Ave , Fort Worth TX 76104-4303. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is the primary health care specialty. Walter Dietrich Gracia, M.D., P.A. can be contacted via phone (817) 336-9450, or through Santos, Dariela via phone (817) 336-9450.

Contact Information

Primary practice address
1204 5Th Ave Fort Worth TX 76104-4303
Phone: (817) 336-9450
Fax: (817) 336-3306
Website:
Map and Directions
Authorized official contact:
Name: Santos, Dariela
Phone: (817) 336-9450

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1568643500
LBN Legal business name Walter Dietrich Gracia, M.D., P.A.
DBA Doing business as
Authorized official Santos, Dariela
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Oct 8th, 2010 - about 16 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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