Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY G GRACIA
NPI 1144211806
Nurse Practitioner - Pediatrics in San Antonio, TX

Active since November 02, 2005
17026 BULVERDE RD STE 105, SAN ANTONIO, TX 78247(210) 981-5543(972) 980-3738 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Mar 11, 2026 (2 updates tracked since 2026).

About Mary G Gracia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY G GRACIA (NPI 1144211806) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (AP105341) and active in the NPI registry since November 2005. She maintains a secondary practice location in Corpus Christi.

NPPES Registry Identity

NPI1144211806
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY G GRACIA
Location Address17026 BULVERDE RD STE 105San Antonio, TX 78247-3176
Mailing Address1 Boone RdBremerton, WA 98312-1894 · (360) 475-4426 · Fax (360) 475-4344
Fax(972) 980-3738
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1144211806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · AP105341
Also ListedRegistered NurseTaxonomy 163W00000X · License 525473 (TX)
17026 BULVERDE RD STE 105, San Antonio, TX 78247

Secondary Practice Location 1

Location 114041 Northwest Blvd Ste 1Corpus Christi, TX 78410-5138 · Phone (361) 767-9963 · Fax (972) 980-3738

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
17026 BULVERDE RD STE 105
SAN ANTONIO, TX 78247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gracia's NPI number?

The NPI number for Mary Gracia is 1144211806. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Mary Gracia located?

Mary Gracia practices at 17026 Bulverde Rd Ste 105, San Antonio, TX 78247. The listed phone number is (210) 981-5543.

What is Mary Gracia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Gracia was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.