Grey Canyon Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M3304 Issued in TX

Legal business name

GREY CANYON FAMILY MEDICINE PA

Practice address

20658 Stone Oak Pkwy
Ste 108
San Antonio, TX 78258

Phone

(210) 615-9990

Fax

(210) 615-9909

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian K Macgillivray, MD

Title

Owner

Phone

(210) 615-9990

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043391121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY",
            "address_2": "STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-615-9990",
            "fax_number": "210-615-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY",
            "address_2": "STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-615-9990",
            "fax_number": "210-615-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY CANYON FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACGILLIVRAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-615-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prabhdeep Kaur Grewal, MD
• Taranjit Grewal, OT
• Wesley K Greydanus, M.D.
• Greystar Healthcare Services LLC
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• Andrew Nicholas Grgurevic, PA

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.