Individual provider · NPI-1

Gracia C Del Rosario, MD

Physical Medicine & Rehabilitation · Arlington, TX

NPI number1215159108
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1215159108
Entity type
Individual (NPI-1)
Name
Gracia C Del Rosario
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
May 2, 2007
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationK7521TXYes

Practice location

900 W Arbrook Blvd
Arlington, TX 76015-4314

Phone 682-304-6000 · Fax 682-304-6074

Mailing address

2600 E Southlake Blvd # 120-117
Southlake, TX 76092-6634

Phone 817-966-2163 · Fax 817-400-0753

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