Individual
DR. CAMILLE ALICIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 454-6481
(903) 454-6486
Mailing address
4000 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 454-6481
(903) 454-6486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L2908
TX
207Y00000X
Otolaryngology Physician
Primary
L2908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149887501
—
TX
Enumeration date
07/13/2006
Last updated
05/01/2014
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