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

Grace Medical Association, PA

Organization Family Medicine Physician · NPI 1487695631

Grace Medical Association, PA provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
Phone: (972) 420-6777
Fax: (972) 420-0656
Show map & directions

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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