Organization
J.E. GRAHAM PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH GRAHAM M.D. (DOCTOR/OWNER)
(806) 934-4975
Entity
Organization
Contact information
Practice address
212 S BLISS AVE, DUMAS, TX 79029-3806
(806) 934-4975
(806) 934-4984
Mailing address
212 S BLISS AVE, DUMAS, TX 79029-3806
(806) 934-4975
(806) 934-4984
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154262302
—
TX
01
—
TXB158039
MEDICARE
TX
Enumeration date
08/18/2006
Last updated
04/24/2018
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