Individual
DION GRAYBEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2036
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
K5304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106202801
—
TX
05
—
106202803
—
TX
01
—
8X0057
BCBS
TX
Enumeration date
03/28/2006
Last updated
01/18/2024
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