Individual
DR. JENNIFER MICHELLE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
(512) 452-8533
Mailing address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
(512) 452-8533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036119370
IL
207P00000X
Emergency Medicine Physician
248651
NY
207P00000X
Emergency Medicine Physician
Primary
P0874
TX
Other
Enumeration date
04/28/2008
Last updated
01/02/2015
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