Gracia C Del Rosario in Southlake - Physical Medicine & Rehabilitation
Gracia C Del Rosario - NPI 1215159108
Gracia C Del Rosario is a Physical Medicine & Rehabilitation in Southlake, Texas. Gracia C Del Rosario practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Gracia C Del Rosario is 1215159108. The last update date is 2022-07-21.
Gracia C Del Rosario's current location address is 2600 E Southlake Blvd # 120-117, Southlake, Texas. You can contact this provider via phone number 8179662163 and fax number 8174000753. The mailing address for Gracia C Del Rosario is 2600 E Southlake Blvd # 120-117, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gracia C Del Rosario |
|---|---|
| Address | 2600 E Southlake Blvd # 120-117, Southlake, Texas |
| Phone Number | 8179662163 |
| Fax Number | 8174000753 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215159108 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2600 E Southlake Blvd # 120-117 |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 760926634 |
| Phone Number | 8179662163 |
| Fax Number | 8174000753 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | K7521 |
|
Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 194702001 | TX | -- | |
| 8AW001 | TX | BC/BS | |
| 9915161 | TX | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gracia C Del Rosario by the Centers for Medicare & Medicaid Services?
The Gracia C Del Rosario has been issued the NPI (National Provider Identifier) 1215159108 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gracia C Del Rosario?
The Gracia C Del Rosario is situated at 2600 E Southlake Blvd # 120-117, in the city of Southlake, state of TX, with the zip code 760926634.
What is the area of specialization for Gracia C Del Rosario, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gracia C Del Rosario is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this area of expertise is 208100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215159108 to Gracia C Del Rosario?
The Centers for Medicare & Medicaid Services originally issued the 1215159108 to Gracia C Del Rosario on 2007-05-02.
As of what date were the details related to Gracia C Del Rosario most recently updated or revised?
The information pertaining to Gracia C Del Rosario, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.