Individual
WALTER JOSEPH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42ND AND EMILE ST, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
11824 VIA GRANDE DR, AUSTIN, TX 78739-1925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
02/03/2026
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