# WILLIAM MALCOLM GRANBERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134162605
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | H2412 | TX | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | H2412 | TX | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 06/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1371569-05 | — | TX |
| 01 | — | 200016150 | MEDICARE RAILROAD | TX |
| 01 | — | 4105814 | AETNA/US HEALTHCARE | TX |
| 01 | — | 6570151 | CIGNA | TX |
| 01 | — | 741660214 | HEALTH NEW ENGLAND | TX |
| 01 | — | 843087 | BCBS OF TEXAS | TX |