Individual
DR. KEVIN THOMAS GRIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1255 ASHBY ST STE B, SEGUIN, TX 78155-5100
(830) 372-4830
(830) 372-9898
Mailing address
1255 ASHBY ST STE B, SEGUIN, TX 78155-5100
(830) 372-4830
(830) 372-9898
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
F6687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122936103
—
TX
Enumeration date
02/23/2007
Last updated
07/30/2008
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