Alsabrook, Grady Dee
Alsabrook, Grady Dee is an individual health care provider with primary practice located at 610 N Main Avenue , San Antonio TX 78205-1204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Alsabrook, Grady Dee can be contacted via phone (210) 225-6508.Contact Information
Primary practice address
610 N Main Avenue
San Antonio TX 78205-1204
Phone: (210) 225-6508
Fax: (210) 225-1486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M6496 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | M6496 | Texas |
Profile Details
| NPI number | 1699898643 |
|---|---|
| LBN Legal business name | Alsabrook, Grady Dee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jul 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699898643 | NPPES |
| Texas | MEDICAID | 193951401 |
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