Audrey L. Graham, Md, Pa in Dallas - Specialist

Audrey L. Graham, Md, Pa - NPI 1518155258

Audrey L. Graham, Md, Pa is a Specialist in Dallas, Texas. Audrey L. Graham, Md, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Audrey L. Graham, Md, Pa is 1518155258. The last update date is 2009-06-26.

Audrey L. Graham, Md, Pa's current location address is 3310 Live Oak St, Dallas, Texas. You can contact this provider via phone number 2148236500 and fax number 2148236816. The mailing address for Audrey L. Graham, Md, Pa is 3310 Live Oak St, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Audrey L. Graham, Md, Pa
Address 3310 Live Oak St, Dallas, Texas
Phone Number 2148236500
Fax Number 2148236816
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING
Authorized Official Name Kannady Margaret
Telephone Number 9726135379

NPI Number Detail

NPI Number 1518155258
Provider Enumeration Date 2007-10-09
Last Updated Date 2009-06-26

Provider Mailing Address Detail

Address 3310 Live Oak St
City Dallas
State Texas (TX)
Post Code 752046147
Phone Number 2148236500
Fax Number 2148236816

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No H7060
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
141549901 TX --

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FAQs about Audrey L. Graham, Md, Pa

What is the unique identification code assigned to Audrey L. Graham, Md, Pa by the Centers for Medicare & Medicaid Services?

The Audrey L. Graham, Md, Pa has been issued the NPI (National Provider Identifier) 1518155258. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Audrey L. Graham, Md, Pa is physically located?

The Audrey L. Graham, Md, Pa is physically situated at the following address: 3310 Live Oak St, Dallas, TX, 752046147.

What is Audrey L. Graham, Md, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Audrey L. Graham, Md, Pa is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1518155258 to Audrey L. Graham, Md, Pa?

The Centers for Medicare & Medicaid Services assigned the 1518155258 to Audrey L. Graham, Md, Pa on 2007-10-09.

When was the information related to Audrey L. Graham, Md, Pa most recently updated or refreshed?

The details pertaining to the Audrey L. Graham, Md, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-26.

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