Organization
WILLOWBEND MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH GRAFF DPM (OWNER/PHYSICIAN)
(972) 403-7733
Entity
Organization
Contact information
Practice address
2633 DALLAS PKWY, SUITE 100, PLANO, TX 75093-4703
(972) 403-7733
Mailing address
2633 DALLAS PKWY, SUITE 100, PLANO, TX 75093-4703
(972) 403-7733
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
136983
TX
Other
Enumeration date
12/01/2015
Last updated
02/15/2016
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