Individual
MARK MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
806 ZARZAMORA STRET, SAN ANTONIO, TX 78207
(210) 434-7001
Mailing address
3031 IH 10 W, SAN ANTONIO, TX 78201-5159
(210) 731-1300
(210) 738-8025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G3034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104294701
—
TX
Enumeration date
06/01/2006
Last updated
03/23/2012
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