Individual
DR. JOHN KENNEDY GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-5200
(915) 215-8640
Mailing address
540 OAK CENTRE DR STE 260, SAN ANTONIO, TX 78258-4767
(210) 499-0448
(210) 370-9638
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101230320
VA
207RC0000X
Cardiovascular Disease Physician
M6641
TX
207RI0011X
Interventional Cardiology Physician
Primary
M6641
TX
207UN0901X
Nuclear Cardiology Physician
M6641
TX
Other
Enumeration date
06/08/2007
Last updated
04/14/2026
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