Organization
RAIDER SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE A GRAHAM MD (OWNER)
(956) 429-4900
Entity
Organization
Contact information
Practice address
1400 E RIDGE RD STE 3, MCALLEN, TX 78503-1536
(956) 429-4900
(956) 429-4901
Mailing address
1519 E 6TH ST, WESLACO, TX 78596-6605
(956) 429-4900
(956) 429-4901
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130305
TX
Other
Enumeration date
12/16/2015
Last updated
03/10/2017
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