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Individual
MR. BRIAN DONALD GRAHAM
Active
Individual
MR. BRIAN DONALD GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP124890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366562225
GROUP NPI
TX
Enumeration date
05/21/2013
Last updated
03/22/2021
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