Individual
ILIANA AMAYA GREVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 78232-2679
(210) 309-1405
(210) 688-4596
Mailing address
711 W BAY AREA BLVD, SUITE #500, WEBSTER, TX 77598-4043
(281) 554-2200
(281) 554-5189
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L7301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172833902
—
TX
Enumeration date
07/09/2006
Last updated
05/16/2019
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