Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Medical Association, PA

Organization Family Medicine Physician · NPI 1487695631

Grace Medical Association, PA is a Family Medicine Physician in Lewisville, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 W Southwest Pkwy
Lewisville, TX 75067
Phone: (972) 420-6777
Fax: (972) 420-0656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence J91000 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence J91000 (TX)

Record details

NPI number1487695631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Smart Idemudia — Owner · (972) 420-6777
NPI enumeratedJune 9, 2006
Last updated in NPPESJune 2, 2014
Mailing addressPo Box 292128, Lewisville, TX 75029-2128

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