Individual
DR. ROBERT D GRAHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12309 N MOPAC EXPY STE 150, AUSTIN, TX 78758
(512) 491-6404
(512) 833-6716
Mailing address
12309 N MOPAC EXPY STE 150, AUSTIN, TX 78758-2647
(512) 491-6404
(512) 833-6716
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L6404
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
L6404
TX
Other
Enumeration date
07/08/2005
Last updated
08/27/2018
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