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Individual
DR. ROBERT A GRAVES
Active
Individual
DR. ROBERT A GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158738803
MEDICAID # FOR RHC SITE
TX
05
—
205588102
—
TX
01
—
458825
MEDICARE # FOR RHC SITE
TX
Enumeration date
07/20/2006
Last updated
10/17/2011
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