MRS. GRACIELA PATRICIA SPENCER (NPI# 1720011430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720011430 |
| Entity Type | Individual |
| Full Name | MRS. GRACIELA PATRICIA SPENCER |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
12702 Toepperwein Rd Ste. 120 Live Oak TX 78233-3278 |
| Practice Telephone | 2106534420 |
| Practice Fax Number | 2106533183 |
| Mailing Telephone | 2106534420 |
| Mailing Fax Number | 2106533183 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2017-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04969 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12702 TOEPPERWEIN RD STE. 120 |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316409816 | Maria Dejesus Ortiz | Counselor | 12702 Toepperwein Rd, Live Oak, TX 78233-3278 | 2019-04-03 |
| 1720536253 | Emerge Counseling and Coaching Services | Counselor | 12702 Toepperwein Rd, Suite 218, Live Oak, TX 78233-3278 | 2016-09-13 |
| 1811270556 | Keith Aaron Jones | Physical Therapist | 12702 Toepperwein Rd, Suite 104, Live Oak, TX 78233-3278 | 2011-09-20 |
| 1528294469 | Lucien Adrien Morin | Technician, Other | 12702 Toepperwein Rd, Live Oak, TX 78233-3278 | 2009-06-05 |
| 1093940702 | Eye Management, LLC | Durable Medical Equipment & Medical Supplies | 12702 Toepperwein Rd, Suite 121, Live Oak, TX 78233-3278 | 2009-05-26 |
| 1386829877 | Reginal D Harris | Pharmacist | 12702 Toepperwein Rd, Suite 207, Live Oak, TX 78233-3278 | 2008-01-03 |
| 1992905525 | Live Oak Pediatrics, Pa | Clinic/Center | 12702 Toepperwein Rd, Ste 132, Live Oak, TX 78233-3278 | 2007-07-23 |
| 1659491348 | Sarah R Cook | Physical Therapist | 12702 Toepperwein Rd, Suite 104, Live Oak, TX 78233-3278 | 2007-03-29 |
| 1255450656 | James Earl Ross Jr. | Emergency Medicine | 12702 Toepperwein Rd, Suite 140, Live Oak, TX 78233-3278 | 2007-03-28 |
| 1063553998 | Oaks Pharma LLC | Pharmacy | 12702 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3278 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1104193143 | Elva Earline Deleon | Physician Assistant | 12415 Judson Road, Live Oak, TX 78233-5015 | 2011-11-18 |
| 1164647129 | Barbara Spero | Physician Assistant | 12602 Toepperwein Rd Ste 202, Live Oak, TX 78233-3271 | 2007-04-16 |
| 1417020314 | Richard A Corley | Physician Assistant | 10820 Marvin E Jones Blvd, Live Oak, FL 32060 | 2006-11-16 |
| 1992364970 | Jordan Taylor Gooch | Physician Assistant | 12850 Toepperwein Rd, Live Oak, TX 78233-4115 | 2019-06-12 |
| 1669917472 | Suwannee Emergency Group LLC | Physician Assistant | 1100 11th St Sw, Live Oak, FL 32064-3608 | 2017-01-03 |
| 1174994396 | Herald Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1790156966 | Inner Harbor Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1356732028 | Ashley Tubb | Physician Assistant | 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | 2015-02-16 |
| 1982035580 | Tx-i Medical Services Pa | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2013-12-06 |
| Find all providers in LIVE OAK | ||||
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| 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.