Individual
DR. WADE ALAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST STE 2A100, LUBBOCK, TX 79430-0002
(806) 743-2020
(806) 743-1782
Mailing address
3601 4TH ST, MS 7217, LUBBOCK, TX 79430-0002
(806) 743-2020
(806) 743-1782
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K2910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046733404
—
TX
01
—
P00645448
RAILROAD MEDICARE
TX
Enumeration date
10/31/2005
Last updated
03/02/2026
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