GRACIA MEDICAL LLP NPI 1124107164

NPI Information

  • NPI: 1124107164
  • Provider Name: GRACIA MEDICAL, LLP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: KENEDY FAMILY PRACTICE AND OBSTETRICS
  • Address: 113 W MAIN ST
    KENEDY, TX
    ZIP 78119
  • Phone: (830) 583-3711

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NPI Details

GRACIA MEDICAL, LLP is a family medicine in Kenedy, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRACIA MEDICAL, LLP NPI is 1124107164. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kenedy Family Practice And Obstetrics.

The provider's business location address is:

113 W MAIN ST
KENEDY, TX
ZIP 78119-717
Phone: (830) 583-3711
Fax: (830) 583-3729

The provider's authorized official is David Keefauver .
The authorized official title is Managing Partner and has the following contact phone number (361) 275-2381.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1170895003MEDICAIDTEXAS
20032LZOTHERTEXASBCBS
3673875MEDICARE OSCAR/CERTIFICATIONTEXAS
4170895006MEDICAIDTEXAS
55380400002MEDICARE NSCTEXAS
600634XMEDICARE PINTEXAS
7170895007MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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