DR. Walter Dietrich Gracia, M.D.

NPI #1245207141 in Fort Worth, Texas

Provider Information

NPI Number: 1245207141
Entity Type: Individual
Name: DR. Walter Dietrich Gracia, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Mar 1, 2006
Last Updated: Aug 4, 2014

Practice Location

Address: 1204 5TH AVE
City: Fort Worth
State: Texas
ZIP Code: 76104-4303
Phone: (817) 336-9450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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