Walter Dietrich Gracia, M.D., P.A.
NPI 1568643500ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Fort Worth, TX
Surgery, Plastic and Reconstructive Surgery in Fort Worth, Texas, registered in NPPES in November 2007. The authorized official on file is Dariela Santos, Receptionist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568643500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2007 |
| Last updated in NPPES | Oct 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
| Surgery, Surgery of the Hand | 2086S0105X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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