Individual provider · Type 1 NPI

Miguel Angel Grajeda Sr.

Surgical Physician Assistant · Houston, TX

NPI number 1700977782 Active

Practice location

7600 Beechnut St, Memorial Hermann Hospital Southwest
Houston, TX 77074

Fax (713) 448-6570

Mailing address

22214 Cascade Springs Dr, PO Box 721676
Houston, TX 77272-1676

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XSA00013 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1700977782

Miguel Angel Grajeda Sr.'s National Provider Identifier is 1700977782, issued on Sep 27, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.