Individual
DR. GLEN S GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 NEW COPELAND RD, SUITE 100, TYLER, TX 75703
(903) 561-9255
(903) 561-0034
Mailing address
5777 NEW COPELAND RD, SUITE 100, TYLER, TX 75703-3905
(903) 561-9255
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
J2036
TX
Other
Enumeration date
02/14/2006
Last updated
06/01/2021
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