Individual
DR. DENNIS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4204
Mailing address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4204
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F6684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113891100
FIRST CARE PROVIDER NUMBE
TN
05
—
141204101
TEXAS PROVIDER IDENTIFIER
TX
01
—
200040612
RAILROAD MEDICARE
TX
01
—
206304301
UNITED HEALTHCARE PROV NO
TX
01
—
6300665002
CIGNA PROVIDER NUMBER
TX
01
—
7182209
AETNA PROVIDER NUMBER
TX
01
—
8978M0
BCBS PROVIDER NUMBER
TX
Enumeration date
06/20/2005
Last updated
09/04/2009
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