Individual
DR. MICHAEL T GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2404 YONKERS ST, PLAINVIEW, TX 79072-1820
(806) 293-5111
Mailing address
2404 YONKERS ST, PLAINVIEW, TX 79072-1820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G8602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00GW44
BLUE CROSS BLUE SHIELD
TX
01
—
602529
BLUE CROSS BLUE SHIELD KS
TX
Enumeration date
06/22/2005
Last updated
07/12/2007
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