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Individual

ROBERT GRAYDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Mailing address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00688
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191063002
TX
Enumeration date
08/24/2006
Last updated
05/06/2009
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