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Organization
GRAHAM FAMILY DENTISTRY
Active
Organization
GRAHAM FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARQUEL R MCCABE DDS (DENTIST)
(210) 654-9383
Entity
Organization
Contact information
Practice address
2130 NE LOOP 410, STE. 225, SAN ANTONIO, TX 78217-4659
(210) 654-9383
(210) 654-0570
Mailing address
2130 NE LOOP 410, STE. 225, SAN ANTONIO, TX 78217-4659
(210) 654-9383
(210) 654-0570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12837
TX
1223G0001X
General Practice Dentistry
22463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073725693
NPI
TX
01
—
1629097183
NPI
TX
Enumeration date
07/07/2011
Last updated
07/07/2011
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