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WALTER DIETRICH GRACIA, M.D., P.A.
NPI 1568643500
Surgery - Plastic and Reconstructive Surgery in Fort Worth, TX

Active since November 19, 2007
1204 5TH AVE, FORT WORTH, TX 76104(817) 336-9450(817) 336-3306 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Walter Dietrich Gracia, M.d., P.a. NPPES

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

WALTER DIETRICH GRACIA, M.D., P.A. (NPI 1568643500) is a healthcare organization registered as a plastic and reconstructive surgery in Fort Worth, Texas and active in the NPI registry since November 2007. The organization lists Dariela Santos, Receptionist, as its authorized official.

NPPES Registry Identity

NPI1568643500
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameWALTER DIETRICH GRACIA, M.D., P.A.
Location Address1204 5TH AVEFort Worth, TX 76104-4303
Mailing Address1204 5th AveFort Worth, TX 76104-4303 · (817) 336-9450 · Fax (817) 336-3306
Phone(817) 336-9450
Fax(817) 336-3306
Organization SubpartNo
Authorized OfficialDariela SantosReceptionist · (817) 336-9450
Enumeration DateNovember 19, 2007
Last NPPES UpdateOctober 8, 2010
✔ NPI 1568643500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X
1204 5TH AVE, Fort Worth, TX 76104
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Other Identifiers 1

Medicare PIN00911ZTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. WALTER DIETRICH GRACIA M.D.
Specialist
1204 5TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 336-9450
MRS. MONICA RENE GRACIA RN
Registered Nurse
1204 5TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 336-9450

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 Walter Dietrich Gracia, M.D., P.A.'s NPI number?

The NPI number for Walter Dietrich Gracia, M.D., P.A. is 1568643500. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Walter Dietrich Gracia, M.D., P.A. located?

Walter Dietrich Gracia, M.D., P.A. is located at 1204 5th Ave, Fort Worth, TX 76104. The listed phone number is (817) 336-9450.

What is Walter Dietrich Gracia, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Walter Dietrich Gracia, M.D., P.A. was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.