William Grisham, PA-C Valid NPI

Individual provider · Physician Assistant · Fort Sam Houston, TX

NPI

1023345790

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA.1291 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2009-11-17

Last updated

2023-10-23