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Individual

PAUL GRAYBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
621 N HALL ST, SUITE H030, DALLAS, TX 75226-1339
(214) 820-7500
(214) 820-7533
Mailing address
4525 BENTLEY DR, PLANO, TX 75093-7150

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F9495
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11908305
TX
Enumeration date
03/18/2006
Last updated
08/08/2013
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