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

Grey Canyon Family Medicine PA

Organization Family Medicine Physician · NPI 1043391121

Grey Canyon Family Medicine PA is a Family Medicine Physician in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20658 Stone Oak Pkwy Ste 108
San Antonio, TX 78258
Phone: (210) 615-9990
Fax: (210) 615-9909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M3304 (TX)

Record details

NPI number1043391121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Macgillivray — Owner · (210) 615-9990
NPI enumeratedOctober 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address20658 Stone Oak Pkwy, Ste 108, San Antonio, TX 78258

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