Individual
MRS. KATHRYN MARGARET GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
9518 TIOGA DR, SAN ANTONIO, TX 78230-3118
(210) 495-4888
(210) 495-1333
Mailing address
9518 TIOGA DR, SAN ANTONIO, TX 78230-3118
(210) 495-4888
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1070391
TX
Other
Enumeration date
02/09/2022
Last updated
09/12/2023
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