MS. MARY CATHERINE GRACE


Address: 2455 Ne Loop 410, Ste 100, San Antonio, TX 78217-5649
Phone: 2105996000

MS. MARY CATHERINE GRACE (NPI# 1134126824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134126824
Entity Type Individual
Full Name MS. MARY CATHERINE GRACE
Credential PA
Practice Address 2455 Ne Loop 410
Ste 100
San Antonio
TX 78217-5649
Practice Telephone 2105996000
Practice Fax Number 2106575586
Mailing Telephone 2105996000
Mailing Fax Number 2106575586
Enumeration Date 2005-07-07
Last Update Date 2016-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA00293 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WELLMED MEDICAL GROUP PA TXB159554 01
TX WELLMED MEDICAID 312816701 01

Other Providers MARY GRACE

NPI Name Taxonomy Address Enumeration
1942556220 Mary Teresa Grace Nurse Practitioner 817 Maiden Choice Ln Ste 350, Catonsville, MD 21228-3692 2012-07-24
1740746957 Mary Grace Social Worker 1203 Memorial Blvd Ste E, Murfreesboro, TN 37129 2019-02-12
1679055214 Mary Kathryn Grace Physical Therapist 281 Main St, Reading, MA 01867-3603 2018-08-30
1538328133 Mary Grace Dietitian, Registered 155 Lawn Ave, Buffalo, NY 14207-1816 2008-06-09
1215048541 Mary E Grace Pediatrics 5301 F St, #220, Sacramento, CA 95819-3226 2006-08-31
1033139142 Mary P Grace Social Worker 31 Thurber Dr, Waterloo, NY 13165-1600 2006-07-20
1982660650 Mary Catherine Grace Social Worker 1100 Meade St, Dunmore, PA 18512-3169 2006-04-21

Office Location

Street Address 2455 NE LOOP 410
STE 100
City SAN ANTONIO
State TX
Zip Code 78217-5649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811994056 Valentin George Salcher Family Medicine 2455 Ne Loop 410, Ste 100, San Antonio, TX 78217-5649 2005-07-01
1649510215 South Texas Pain Specialists, Pa Physical Medicine & Rehabilitation 2455 Ne Loop 410, Suite 249, San Antonio, TX 78217-5649 2013-02-19
1811283179 Sleep Therapy & Research Center Physiological Laboratory 2455 Ne Loop 410, Suite 150, San Antonio, TX 78217-5649 2011-06-24
1356644561 Richard J Gong, Md Pa Surgery 2455 Ne Loop 410, Suite 245, San Antonio, TX 78217-5649 2010-12-09
1427227958 Shyam Purswani, M.d. P.a. Pain Medicine 2455 Ne Loop 410, Suite 101, San Antonio, TX 78217-5649 2008-02-28
1932307733 Alamo Area Heart Rhythm Consultants, Pllc Internal Medicine 2455 Ne Loop 410, Suite 242, San Antonio, TX 78217-5649 2007-07-03
1184742041 Avanindra Jain, M.d.p.a. Specialist 2455 Ne Loop 410, Suite 235, San Antonio, TX 78217-5649 2007-03-27
1821160938 Thilina Praneethbogategedara Marasinghe Internal Medicine 2455 Ne Loop 410, Suite 100, San Antonio, TX 78217-5649 2006-11-14
1346279189 Richard John Gong Surgery 2455 Ne Loop 410, Ste 245, San Antonio, TX 78217 2006-07-02
1982656534 Avanindra Jain Specialist 2455 Ne Loop 410, Suite Number 235, San Antonio, TX 78217-5649 2006-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390278 Nadia Sanchez De Ramos Counselor 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 2020-06-10
1104455518 Lamonica Shantae Armond Counselor 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 2020-04-07
1487282414 Debra Pitts Counselor 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 2020-03-27
1083241129 Jena Lalley Nurse Practitioner 8723 Botts Lane, San Antonio, TX 78217 2020-03-26
1699307173 Kingdom Outreach Center of San Antonio, Tx Counselor Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 2020-02-12
1881224277 Tinyada Robinson Recreation Therapist 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 2020-01-24
1255996815 Chelsey Lynn Guy Dental Hygienist 10231 Kotzebue St., San Antonio, TX 78217 2019-05-08
1972069144 Emma Getic Behavioral Analyst 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 2019-02-13
1487133781 Rebecca Rendon Registered Nurse 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 2018-08-08
1326526922 Charlene Michelle Turner Registered Nurse 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 2018-08-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1194210658 5 Star Integrity Healthcare, LLC Physician Assistant 1300 West Ave Ste 201, San Antonio, TX 78201-3501 2018-06-27
1245750512 William S Beall Jr. Physician Assistant 230 E Travis St, San Antonio, TX 78205-1702 2017-06-27
1114473808 Devon H. Durand Physician Assistant 7950 Floyd Curl Dr Ste 805, San Antonio, TX 78229-3926 2016-09-01
1538533104 Dara Danielle Valdez Physician Assistant 2040 Babcock Rd Ste 301, San Antonio, TX 78229-4428 2015-11-19
1720458870 Thomas Alan Espinoza Physician Assistant 1919 Rogers Rd Ste 104, San Antonio, TX 78251 2015-10-01
1477922474 Michelle Sheree Fonseca Physician Assistant 9811 Huebner Rd Bldg 2, San Antonio, TX 78240-3255 2015-09-20
1235526575 Precision First Assist LLC Physician Assistant 1141 N Loop 1604 E # 105-717, San Antonio, TX 78232-1339 2015-04-24
1497142160 Jimmy Larue Conner Physician Assistant 2903 Deer Ledge, San Antonio, TX 78230-4554 2015-04-21
1740678317 Catherine Millet Physician Assistant 730 N Main Ave Ste 312, San Antonio, TX 78205-1115 2015-01-05
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Competitor

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City SAN ANTONIO
Zip Code 78217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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