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Individual

GRAZYNA M. THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
Mailing address
4114 MEDICAL DR APT 21101, SAN ANTONIO, TX 78229-5666
(630) 413-9033

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1928
WI
363A00000X
Physician Assistant
Primary
PA04967
TX

Other

Enumeration date
08/02/2006
Last updated
07/08/2007
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