Individual
MR. BEN RAY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8100
Mailing address
504 ONYX CT, MESQUITE, TX 75149-7530
(972) 951-1283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09659
TX
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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