Individual provider · Type 1 NPI

Walter Dietrich Gracia, MD

Specialist · Fort Worth, TX

NPI number 1245207141 Active

Practice location

1204 5th Ave
Fort Worth, TX 76104-4303

Call (817) 336-9450 Map

Fax (817) 336-3306

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG5103 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245207141

Walter Dietrich Gracia, MD's National Provider Identifier is 1245207141, issued on Mar 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 4, 2014.