Gratia Plena

LBN: Gratia Plena
Gratia Plena is an health care organization with primary practice located at 10707 Corporate Dr Suite 135, Stafford TX 77477-4095. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Gratia Plena can be contacted via phone (832) 532-0129, or through Buckle, Kenneth via phone (832) 532-0129.

Contact Information

Primary practice address
10707 Corporate Dr Suite 135 Stafford TX 77477-4095
Phone: (832) 532-0129
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckle, Kenneth PSY.D.
Phone: (832) 532-0129

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1053850065
LBN Legal business name Gratia Plena
DBA Doing business as
Authorized official Buckle, Kenneth PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2017
Last updated Feb 23rd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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