Individual
LOUIS GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, ENP
Contact information
Practice address
2900 DENTON HWY STE A, HALTOM CITY, TX 76117-3763
(817) 420-6009
Mailing address
2900 DENTON HWY STE A, HALTOM CITY, TX 76117-3763
(817) 420-6009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143056
TX
Other
Enumeration date
09/14/2019
Last updated
09/27/2024
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