Grant, Adela Annette

Grant, Adela Annette is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Grant, Adela Annette can be contacted via phone (210) 450-9000.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229
Phone: (210) 450-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X AP137222 Texas

Profile Details

NPI number 1336645787
LBN Legal business name Grant, Adela Annette
Credentials MSN, APRN, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Aug 2nd, 2018 - about 6 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 1336645787 NPPES
Texas MEDICAID 385106501
Texas Other 385106502

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