person
Ms. Mary Catherine Grace, PA
Medical Physician Assistant in San Antonio, Texas
NPI 1134126824

Mary Catherine Grace is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Mary Catherine Grace practices in San Antonio, TX and has the professional credentials of PA. The NPI Number for Mary Catherine Grace is 1134126824 and holds a License No. PA00293 (Texas).

The current practice location address for Mary Catherine Grace is 1900 N Main Ave, San Antonio, TX and can be reached out via phone at 210-226-3204 and via fax at 210-226-2854.

Location: 1900 N Main Ave, San Antonio, TX, 78217-5649
person
Provider Profile Details
NPI Number
1134126824
Provider Name
Mary Catherine Grace
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1900 N Main Ave, San Antonio, TX, 78217-5649
Phone Number
210-226-3204
Fax Number
210-226-2854
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TXB159554 01 WELLMED MEDICAL GROUP PA
312816701 01 TX WELLMED MEDICAID
institution
Provider Business Practice Location Address Details
Address
1900 N Main Ave
City
State
Zip
78212-3942
Phone Number
210-226-3204
Fax Number
210-226-2854
person
Provider Business Mailing Address Details
Address
1900 N Main Ave
City
State
Zip
78212-3942
Phone Number
210-226-3204
Fax Number
210-226-2854
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00293 (Texas)
Definition
Definition to come...
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