Individual
DR. COLLIN O'BRIEN GRAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(512) 587-5269
Mailing address
7703 FLOYD CURL DR FL 7, SAN ANTONIO, TX 78229-3901
(512) 587-5269
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
BP10078718
TX
208D00000X
General Practice Physician
Primary
0101281763
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10078718
TEXAS STATE PHYSICIAN IN TRAINING ID
TX
Enumeration date
05/16/2022
Last updated
07/03/2024
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