Individual
MR. JASON ROBERT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 E VICTORY AVE, TEMPLE, TX 76501-1711
(254) 295-6076
Mailing address
213 E VICTORY AVE, TEMPLE, TX 76501-1711
(254) 295-6076
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
476475
TX
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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