Individual
DR. MICHAEL SCOTT GRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 PARK BEND DR, BLDG 1 SUITE 401, AUSTIN, TX 78758-5387
(512) 615-9901
(512) 807-3335
Mailing address
2200 PARK BEND DR, BLDG 1 SUITE 401, AUSTIN, TX 78758-5387
(512) 901-4001
(512) 339-7743
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L4956
TX
207RI0011X
Interventional Cardiology Physician
L4956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715793201
—
TX
01
—
P00246014
MEDICARE RAILROAD
TX
Enumeration date
12/15/2005
Last updated
05/16/2023
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