Individual
RICHARD GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
6233 SPOKANE DR, FORT WORTH, TX 76179-1658
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
915713
TX
163WR0006X
Registered Nurse First Assistant
Primary
915713
TX
Other
Enumeration date
07/26/2021
Last updated
12/07/2021
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