William T Grady Jr, CRNA is a
Nurse Anesthetist, Certified Registered based in Rancho Viejo, Texas. William T Grady Jr is licensed to practice in Texas (license number 636370) and his current practice location is
1601 Santa Ana Ave, Rancho Viejo, Texas. He can be reached at his office (for appointments etc.) via phone at
(956) 498-7669.
NPI number for William T Grady Jr is 1619991791 and his current mailing address is Po Box 1057, Olmito, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619991791.
Provider's Profile
| Full Name | William T Grady Jr |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1601 Santa Ana Ave, Rancho Viejo, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619991791
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 12/18/2008
Medical Identifiers
Medical identifiers for William T Grady Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619991791 | NPI | - | NPPES |
| 002170103 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 636370 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William T Grady Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
William T Grady Jr, CRNA
Po Box 1057,
Olmito, TX 78575-1057
Ph: (956) 498-7669 | William T Grady Jr, CRNA
1601 Santa Ana Ave,
Rancho Viejo, TX 78575-9760
Ph: (956) 498-7669 |
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