Organization
PAUL A. GRAYBURN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY HANGER (BILLING MANAGER)
(972) 429-7737
Entity
Organization
Contact information
Practice address
621 N HALL ST, SUITE H030, DALLAS, TX 75226-1339
(214) 820-7500
Mailing address
4525 BENTLEY DR, PLANO, TX 75093-7150
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F9495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11908305
—
TX
Enumeration date
08/06/2013
Last updated
08/06/2013
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