Wilson Wayne Grant M.D.

NPI 1003810888 - Pediatrics - 208000000X

NPI Details
NPI 1003810888
Gender Male
Enumeration Date 06/09/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5282 MEDICAL DR
STE 310
SAN ANTONIO TX, 78229-6044, US
Phone (210) 614-8687
Fax (210) 614-7529
Business Location
5282 MEDICAL DR
STE 310
SAN ANTONIO TX, 78229-6044, US
Phone (210) 614-8687
Fax (210) 614-7529
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number D3243
Remove 1003810888 NPI Number
 

According to our database, Dr. Wilson Wayne Grant M.D. NPI is 1003810888, taxonomy code is 208000000X and license number is D3243, license state is located at Texas. Wilson Wayne Grant M.D. physically located at 5282 Medical Dr, San Antonio TX, 78229-6044. NPI Number Wilson Wayne Grant M.D. has the Individual type.

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1003810888 NPI number is provided on an as is basis without warranty of any kind. 1003810888 is maintained by the National Plan & Provider Enumeration System. The contents of Wilson Wayne Grant M.D. are for informational purposes only.