Individual
MR. MORTON GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDCS, RVT
Contact information
Practice address
808 STONE TRAIL DR, PLANO, TX 75023-7108
(214) 363-6611
(214) 363-6851
Mailing address
PO BOX 863722, PLANO, TX 75086-3722
(214) 363-6611
(214) 363-6851
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
—
—
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092KY
BLUE CROSS BLUE SHIELD OF TX
TX
05
—
088010601
—
TX
Enumeration date
10/04/2010
Last updated
11/19/2010
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