Individual
DR. DENNIS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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