Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grantham Medical, PLLC

Organization Surgical Physician Assistant · NPI 1699582304

Grantham Medical, PLLC is a Surgical Physician Assistant in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

133 Terrell Rd Unit 9
San Antonio, TX 78209-6329
Phone: (830) 221-6903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1699582304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Grantham — Owner · (830) 221-6903
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing addressPo Box 6141, San Antonio, TX 78209-0141

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