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Individual

ADAM GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1900 SE 34TH AVENUE UNIT 1800, AMARILLO, TX 79118-5555
(806) 351-7540
(806) 351-7546
Mailing address
5012 US HWY 75 S,SUITE 300, ATTN. BILLING, DENISON, TX 75020
(806) 351-7600
(806) 351-7546

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130442
TX
363LF0000X
Family Nurse Practitioner
808631
TX

Other

Enumeration date
01/04/2016
Last updated
10/14/2019
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