Miguel Angel Grajeda Sr.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00013 Issued in TX

Practice address

7600 Beechnut St
Memorial Hermann Hospital Southwest
Houston, TX 77074

Phone

(713) 448-6463

Fax

(713) 448-6570

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700977782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22214 CASCADE SPRINGS DR",
            "address_2": "PO BOX 721676",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772721676",
            "telephone_number": "281-392-2854",
            "fax_number": "281-392-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 BEECHNUT ST",
            "address_2": "MEMORIAL HERMANN HOSPITAL SOUTHWEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-448-6463",
            "fax_number": "713-448-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJEDA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grahamtime Family PLLC
• Grainger Diagnostic Clinic, PA
• Henry Jack Grainger, DO
• Virginia Leigh Grainger, D.C.
• Diana Grair, MD
• Jacqueline Gramajo
• Maria Monica Gramatges, MD
• Gramercy Surgery Center, LTD
• Pamela A Gramm, FNP
• Kristen Grammas

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.