Individual
ANDREW DALLIN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
17000 PRESTON RD STE 400, DALLAS, TX 75248-1201
(972) 930-0260
Mailing address
17000 PRESTON RD STE 400, DALLAS, TX 75248-1201
(972) 930-0260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1037458
TX
363LF0000X
Family Nurse Practitioner
260349
AZ
Other
Enumeration date
07/08/2021
Last updated
12/08/2023
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