IndividualActive
Libertad Gracia
NPI 1851993380 · Phlebology Physician · Dallas, TX
Provider details
- NPI number
- 1851993380
- Entity type
- Individual
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 48021-PT19 (TX)
Mailing address
105 Palomino Dr
Fate, TX 75087-6881
Registry dates
- Enumerated
- 2020-11-10
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.