Grey Canyon Family Medicine PA
NPI #1043391121 in San Antonio, Texas
Provider Information
- NPI Number
- 1043391121
- Entity Type
- Organization
- Organization Name
- Grey Canyon Family Medicine PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 20658 STONE OAK PKWY
- Address 2
- STE 108
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78258
- Phone
- (210) 615-9990
Authorized Official
- Name
- DR. BRIAN K MACGILLIVRAY, MD
- Title
- OWNER
- Phone
- (210) 615-9990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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