Individual
WILLIAM MALCOLM GRANBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030-4202
(713) 986-6016
Mailing address
6624 FANNIN ST, SUITE 2600, HOUSTON, TX 77030-2312
(713) 790-1818
(713) 790-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H2412
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
H2412
TX
Other
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
Enumeration date
06/13/2006
Last updated
06/11/2025
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