Individual provider · Type 1 NPI

Krista Grantham, PA-C

Surgical Physician Assistant · San Antonio, TX

NPI number 1073920005 Active

Practice location

133 Terrell Rd Unit 9
San Antonio, TX 78209-6329

Call (830) 221-6903 Map

Mailing address

PO Box 6141
San Antonio, TX 78209-0141

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA09328 (TX)

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About NPI 1073920005

Krista Grantham, PA-C's National Provider Identifier is 1073920005, issued on Jul 22, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Antonio, TX. The record was last updated on Dec 30, 2024.