Individual
ALEJANDRO A. GRANILLO IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST STE 1540, HOUSTON, TX 77030-2783
(713) 799-9997
(713) 799-2511
Mailing address
6560 FANNIN ST STE 1540, HOUSTON, TX 77030-2783
(713) 799-9997
(713) 799-2511
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
T3959
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
04/10/2023
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