Organization
WALTER E GRAHAM MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER GRAHAM MD (PRESIDENT/OWNER)
(281) 359-5330
Entity
Organization
Contact information
Practice address
1331 NORTHPARK DR, KINGWOOD, TX 77339-1636
(281) 359-5330
(281) 359-6117
Mailing address
1331 NORTHPARK DR, KINGWOOD, TX 77339-1636
(281) 359-5330
(281) 359-6117
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H4357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH0533
MEDICARE FLU
TX
Enumeration date
09/29/2008
Last updated
09/29/2008
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