Individual
GREGORY BRANT MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 BARLITE BLVD, SAN ANTONIO, TX 78224-1308
(210) 921-3599
(210) 921-3358
Mailing address
403 PIKE RD, SAN ANTONIO, TX 78209-3118
(210) 601-0438
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
H4545
TX
207P00000X
Emergency Medicine Physician
Primary
H4545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140125919
—
TX
05
—
140125931
—
TX
01
—
85X813
BCBS
TX
01
—
8AL600
BCBS
TX
Enumeration date
07/28/2006
Last updated
06/25/2009
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