# GRAHAM FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013204361
- **Authorized official:** DR. MARQUEL R MCCABE DDS (DENTIST)
- **Authorized official phone:** (210) 654-9383

## Contact information

- **Practice address:** 2130 NE LOOP 410, STE. 225, SAN ANTONIO, TX 78217-4659
- **Practice address phone:** (210) 654-9383
- **Practice address fax:** (210) 654-0570
- **Mailing address:** 2130 NE LOOP 410, STE. 225, SAN ANTONIO, TX 78217-4659
- **Mailing address phone:** (210) 654-9383
- **Mailing address fax:** (210) 654-0570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12837 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 22463 | TX | — |

## Other

- **Enumeration date:** 07/07/2011
- **Last updated:** 07/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1073725693 | NPI | TX |
| 01 | — | 1629097183 | NPI | TX |