Individual
DR. RANDALL BERTON GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 N BECKLEY AVE, PAVILION III SUITE 152, DALLAS, TX 75203-1259
(214) 948-2076
(214) 948-9990
Mailing address
1411 N BECKLEY AVE, PAVILION III SUITE 152, DALLAS, TX 75203-1259
(214) 948-2076
(214) 948-9990
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125058777
IL
Other
Enumeration date
06/23/2010
Last updated
10/06/2021
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