Individual provider · Type 1 NPI
Mary G. Gracia
Pediatric Nurse Practitioner · San Antonio, TX
NPI number
1144211806
Active
Practice location
17026 Bulverde Rd Ste 105
San Antonio, TX 78247-3176
Fax (972) 980-3738
Mailing address
1 Boone Rd
Bremerton, WA 98312-1894
Other practice locations
- 14041 Northwest Blvd Ste 1, Corpus Christi, TX 78410-5138 · (361) 767-9963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP105341 (TX) |
| Registered Nurse | 163W00000X | 525473 (TX) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1144211806
Mary G. Gracia's National Provider Identifier is 1144211806, issued on Nov 2, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Jul 13, 2026.