| Gratia Plena | |
|
10707 Corporate Dr Suite 135 Stafford TX 77477-4095 | |
| (832) 532-0129 | |
| Not Available |
| Full Name | Gratia Plena |
|---|---|
| Speciality | Clinic/center |
| Location | 10707 Corporate Dr, Stafford, Texas |
| Authorized Official Name and Position | Kenneth Buckle (PRESIDENT) |
| Authorized Official Contact | 8325320129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gratia Plena 10707 Corporate Dr Suite 135 Stafford TX 77477-4095 Ph: (832) 532-0129 | Gratia Plena 10707 Corporate Dr Suite 135 Stafford TX 77477-4095 Ph: (832) 532-0129 |
| NPI Number | 1053850065 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 02/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053850065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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