DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JOHN KENNEDY GRESHAM M.D.

MEDICARE: DR. JOHN KENNEDY GRESHAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology PhysicianM6641TX
2207RC0000XCardiovascular Disease PhysicianM6641TX
3207RC0000XCardiovascular Disease Physician0101230320VA
4207UN0901XNuclear Cardiology PhysicianM6641TX

General Provider Information

NPI Number : 1619170347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN KENNEDY GRESHAM M.D.
Provider Business Mailing Address
First Line : 540 OAK CENTRE DR STE 260
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4767
Country : US
Telephone Number : 210-499-0448
Fax Number : 210-370-9638
Provider Business Practice Location Address
First Line : 540 OAK CENTRE DR STE 260
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4767
Country : US
Telephone Number : 210-499-0448
Fax Number : 210-370-9638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2007
Last Update Date : 09/14/2022

Similar Medicare Providers

1588528533 — DIEGO ALBERTO ROMAN
Practice Location Address:
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX
78258-4767
Practice Phone: 210-858-9772
Practice Fax:
1043247687 — SUMAIRA AHMED M.D.
Practice Location Address:
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX
78258-4767
Practice Phone: 844-824-8775
Practice Fax:
1023022837 — MS. AMY LYNN HIGDON LPC
Practice Location Address:
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX
78258-4767
Practice Phone: 844-824-8775
Practice Fax:
1275724387 — MONICA ANDREA RIOJAS M.D.
Practice Location Address:
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX
78258-4767
Practice Phone: 210-705-5001
Practice Fax: 210-705-5004
1033350251 — MS. KRISTI K TANAKA LCSW, DCSW, BCD
Practice Location Address:
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX
78258-4767
Practice Phone: 844-824-8775
Practice Fax: 281-648-2200
1720303134 — MR. JOSEPH ROBERT EATHERLY LPC
Practice Location Address:
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX
78258-4767
Practice Phone: 844-824-8775
Practice Fax:

Directions to “ DR. JOHN KENNEDY GRESHAM M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.