Individual
DR. JONATHAN PATRICK GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 297-2961
Mailing address
103 PARKING WAY ST, LAKE JACKSON, TX 77566
(979) 297-2961
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P1645
TX
Other
Enumeration date
08/30/2007
Last updated
12/19/2011
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