Gracia, Libertad Ivette

Gracia, Libertad Ivette is an individual health care provider with primary practice located at 4500 Spring Ave , Dallas TX 75210-1350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as her primary health care specialty. Gracia, Libertad Ivette can be contacted via phone (214) 865-3061.

Contact Information

Primary practice address
4500 Spring Ave Dallas TX 75210-1350
Phone: (214) 865-3061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 48021-PT19 Texas

Profile Details

NPI number 1851993380
LBN Legal business name Gracia, Libertad Ivette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2020
Last updated Nov 10th, 2020 - about 5 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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