SearchTexas101YA0400X

Mark Granda

NPI 1366374563 · on the registry since 2026 · sole proprietor

Practice

Address
12640 Corona Borealis
San Antonio, TX 78245
Phone
(830) 225-1622

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas