Individual
DR. GRADY DEE ALSABROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 N MAIN AVENUE, SAN ANTONIO, TX 78205-1204
(210) 225-6508
(210) 225-1486
Mailing address
610 NORTH MAIN, SECOND FLOOR, SAN ANTONIO, TX 78205-1204
(210) 237-4444
(210) 828-5731
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M6496
TX
2086S0129X
Vascular Surgery Physician
Primary
M6496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193951401
—
TX
Enumeration date
04/06/2007
Last updated
07/21/2023
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