Individual provider · Type 1 NPI
Libertad Ivette Gracia
Phlebology Physician · Dallas, TX
Practice location
4500 Spring Ave
Dallas, TX 75210-1350
Mailing address
105 Palomino Dr
Fate, TX 75087-6881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Phlebology Physician Primary | 202K00000X | 48021-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.