Provider Demographics
NPI:1710111539
Name:GRACIA, YOLANDA (APN, WHNP)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:GRACIA
Suffix:
Gender:F
Credentials:APN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 S CLOSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5658
Mailing Address - Country:US
Mailing Address - Phone:956-380-3441
Mailing Address - Fax:956-380-3715
Practice Address - Street 1:910 S CLOSNER BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5658
Practice Address - Country:US
Practice Address - Phone:956-380-3441
Practice Address - Fax:956-380-3715
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX527938207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXA0164089OtherDPS
TX527938OtherNP LICENSE
TXMG1940798OtherDEA