Individual
DR. AVIE AVSHALOM GRUNSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4114 POND HILL ROAD, SUITE 101, SAN ANTONIO, TX 78231
(210) 249-5020
(210) 572-1540
Mailing address
4114 POND HILL ROAD, SUITE 101, SAN ANTONIO, TX 78231
(210) 249-5020
(210) 572-1540
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
L6407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584468-04
—
TX
Enumeration date
08/03/2005
Last updated
11/30/2011
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