Individual
DR. WILLIAM J GRABER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
9747
MT
208800000X
Urology Physician
Primary
K3211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039850503 (MDACC)
—
TX
05
—
1700816428
—
MT
01
—
8DB991
BCBS (MDACC)
TX
01
—
TXB101595
MEDICARE HARRIS
TX
01
—
TXB101600
MEDICARE MONTGOMERY
TX
Enumeration date
07/05/2006
Last updated
07/27/2012
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