Organization
ACCESSION MEDICAL WAIVER DIVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN DAVID GREGORY MD (CHIEF ACCESSION MEDICAL WAIVER DIV)
(210) 652-9205
Entity
Organization
Contact information
Practice address
550 D WEST , SUITE 1, SAN ANTONIO, TX 78150
(210) 652-9205
Mailing address
550 D WEST , SUITE 1, SAN ANTONIO, TX 78150
(210) 652-9205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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