Individual
DR. ANDRE DEAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 JANE LN, HILLSBORO, TX 76645-2673
(682) 224-3748
(682) 841-0039
Mailing address
800 8TH AVE STE 306, FORT WORTH, TX 76104-2602
(682) 224-3748
(682) 841-0039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
228186
NY
208600000X
Surgery Physician
Primary
M5731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185966202
—
TX
05
—
185966203
—
TX
01
—
8BR115
BCBS
TX
Enumeration date
11/16/2005
Last updated
04/21/2023
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