Acevedo-Gracia, Jessica I
Acevedo-Gracia, Jessica I is an sole proprietor health care provider with primary practice located at 5817 Patton St Suite 101, Corpus Christi TX 78414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Acevedo-Gracia, Jessica I can be contacted via phone (361) 992-9383.Contact Information
Primary practice address
5817 Patton St Suite 101
Corpus Christi TX 78414
Phone: (361) 992-9383
Fax: (361) 992-9543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L9052 | Texas |
Profile Details
| NPI number | 1821080136 |
|---|---|
| LBN Legal business name | Acevedo-Gracia, Jessica I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | May 3rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821080136 | NPPES |
| Texas | MEDICAID | 172865101 |
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