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Organization

A G SURGICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDRE DEAN GRAHAM MD (SURGEON)
(972) 351-6830
Entity
Organization

Contact information

Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 789-5539
Mailing address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 789-5539

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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