Graydon, Robert

Graydon, Robert is an individual health care provider with primary practice located at 7703 Floyd Curl Dr Mc 7977, San Antonio TX 78229-3901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Graydon, Robert can be contacted via phone (210) 257-1400.

Contact Information

Primary practice address
7703 Floyd Curl Dr Mc 7977 San Antonio TX 78229-3901
Phone: (210) 257-1400
Fax: (210) 257-1428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00688 Texas

Profile Details

NPI number 1629185780
LBN Legal business name Graydon, Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated May 6th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629185780 NPPES
Texas MEDICAID 191063002

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