Individual
GRACE PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(713) 500-6530
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(713) 500-6530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8810
TX
208000000X
Pediatrics Physician
R8810
TX
208M00000X
Hospitalist Physician
Primary
R8810
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/15/2016
Last updated
07/06/2022
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