Gracia, Jacqueline Heredia

Gracia, Jacqueline Heredia is an individual health care provider with primary practice located at 2192 Rosita Valley Rd , Eagle Pass TX 78852-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gracia, Jacqueline Heredia can be contacted via phone (830) 421-5349.

Contact Information

Primary practice address
2192 Rosita Valley Rd Eagle Pass TX 78852-2503
Phone: (830) 421-5349
Fax: (830) 421-5417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X P7646 Texas

Profile Details

NPI number 1275858227
LBN Legal business name Gracia, Jacqueline Heredia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2010
Last updated Feb 16th, 2016 - about 8 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 1275858227 NPPES
Texas Other 691720 AMERICAN BOARD OF PEDIATRICS CERTIFICATION
Texas Other P7646 AMERICAN BOARD OF PEDIATRICS CERTIFICATION

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