Most Relevant Information
Provider Data
| NPI Number: | 1003810888 |
| Provider Name: | WILSON WAYNE GRANT M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | D3243 |
Most Important Dates
| Enumeration Date: | 06/09/2005 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
5282 MEDICAL DR
STE 310
SAN ANTONIO
TX
782296044
Practice Location Phone/Fax
| Phone: | 2106148687 |
| Fax: | 2106147529 |
Provider Mailing Location
5282 MEDICAL DR
STE 310
SAN ANTONIO
TX
782296044
Provider Mailing Phone/Fax
| Phone: | 2106148687 |
| Fax: | 2106147529 |
Suggested EMR
Pediatrics EMR