Organization · Type 2 NPI

Grantham Medical, PLLC

Surgical Physician Assistant · San Antonio, TX

NPI number 1699582304 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
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1699582304

Grantham Medical, PLLC's National Provider Identifier is 1699582304, issued on Dec 16, 2024. 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.