Individual
AUDREY BLAIRE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2012 WEST LOOP, EL CAMPO, TX 77437-8030
(979) 543-6821
(979) 543-6817
Mailing address
2012 WEST LOOP, EL CAMPO, TX 77437-8030
(979) 543-6821
(979) 543-6817
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10091T
TX
152W00000X
Optometrist
Primary
10091TG
TX
Other
Enumeration date
08/21/2020
Last updated
11/27/2023
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