CLARK GRAVELL

SAN ANTONIO, TX
NPI1518545961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: TX  V5269)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-29
Last Update Date2025-02-11
Business Address
CLARK GRAVELL MD
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-3555
Mailing Address
CLARK GRAVELL MD
4419 FRONTIER TRL STE 110
AUSTIN, TX 78745-1567
Phone number: 512-968-3125