Individual
MRS. JAE LYNN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
1200 BINZ ST STE 400, HOUSTON, TX 77004-6942
(713) 520-6016
(713) 893-1342
Mailing address
1200 BINZ ST STE 400, HOUSTON, TX 77004-6942
(713) 520-6016
(713) 893-1342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01039
TX
Other
Enumeration date
01/29/2007
Last updated
10/11/2023
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