Grace, Mary Catherine

Grace, Mary Catherine is an individual health care provider with primary practice located at 1900 N Main Ave , San Antonio TX 78212-3942. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Grace, Mary Catherine can be contacted via phone (210) 226-3204.

Contact Information

Primary practice address
1900 N Main Ave San Antonio TX 78212-3942
Phone: (210) 226-3204
Fax: (210) 226-2854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00293 Texas

Profile Details

NPI number 1134126824
LBN Legal business name Grace, Mary Catherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 10th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134126824 NPPES
Other TXB159554 WELLMED MEDICAL GROUP PA
Other 312816701 WELLMED MEDICAL GROUP PA

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