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Individual

DR. BLAINE DALE MCGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 288-8109
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-21334
HI

Other

Enumeration date
10/14/2011
Last updated
08/04/2023
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