Fraser Heard Graham in San Antonio - Periodontics

Fraser Heard Graham - NPI 1952508137

Fraser Heard Graham is a Periodontics in San Antonio, Texas. Fraser Heard Graham practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Fraser Heard Graham is 1952508137. The last update date is 2007-07-08.

Fraser Heard Graham's current location address is 15321 San Pedro Ave, San Antonio, Texas. You can contact this provider via phone number 2106547878 and fax number 2104020410. The mailing address for Fraser Heard Graham is 15321 San Pedro Ave, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Fraser Heard Graham
Address 15321 San Pedro Ave, San Antonio, Texas
Phone Number 2106547878
Fax Number 2104020410
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1952508137
Provider Enumeration Date 2007-06-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15321 San Pedro Ave
City San Antonio
State Texas (TX)
Post Code 782323700
Phone Number 2106547878
Fax Number 2104020410

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 11750
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Fraser Heard Graham

What is the unique 10-digit identification code assigned to Fraser Heard Graham by the Centers for Medicare & Medicaid Services?

The Fraser Heard Graham has been issued the NPI (National Provider Identifier) 1952508137, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Fraser Heard Graham's physical address?

The Fraser Heard Graham is physically located at 15321 San Pedro Ave, in the city of San Antonio, TX, with the postal code 782323700.

What is Fraser Heard Graham's area of expertise and its corresponding taxonomy classification?

The Fraser Heard Graham's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952508137 to Fraser Heard Graham?

The Centers for Medicare & Medicaid Services originally issued the 1952508137 to Fraser Heard Graham on 2007-06-29.

As of what date was the information regarding Fraser Heard Graham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fraser Heard Graham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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