Individual provider · Type 1 NPI

Libertad Ivette Gracia

Phlebology Physician · Dallas, TX

NPI number 1851993380 Active

Practice location

4500 Spring Ave
Dallas, TX 75210-1350

Mailing address

105 Palomino Dr
Fate, TX 75087-6881

Specialties and licenses

TaxonomyCodeLicense
Phlebology Physician Primary 202K00000X48021-PT19 (TX)

Phlebology Physician: Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a v…

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About NPI 1851993380

Libertad Ivette Gracia's National Provider Identifier is 1851993380, issued on Nov 10, 2020. The primary taxonomy on file is Phlebology Physician (202K00000X), and the practice location is in Dallas, TX. The record was last updated on Sep 11, 2025.