Organization
ANDRE GRAHAM MD PLLC
Active
Other names
Graham Bariatrics and Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE DEAN GRAHAM MD (GENERAL SURGEON)
(972) 351-6830
Entity
Organization
Contact information
Practice address
7777 FOREST LN STE C670, DALLAS, TX 75230-6804
(972) 789-5539
Mailing address
7777 FOREST LN STE C670, DALLAS, TX 75230-6804
(972) 789-5539
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185966202
—
TX
Enumeration date
11/28/2018
Last updated
11/28/2018
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