Individual
DR. JUDITH ELAINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
L3889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055996
FIRSTCARE
TX
05
—
154264903
—
TX
01
—
8G5570
BCBS
TX
01
—
TXB158040
MEDICARE
TX
Enumeration date
08/18/2006
Last updated
03/02/2020
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