Ben Ray Graham, PA-C
Physician Assistant in Irving, TX. Individual provider (NPI-1).
NPI number1003209529
StatusActive
Last updated in NPPESMar 9, 2015
Details
- NPI
- 1003209529
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ben Ray Graham
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2015
- Last updated
- Mar 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA09659 | TX | Yes |
Practice location
1901 N Macarthur BlvdIrving, TX 75061-2220
Phone 972-579-8100
Mailing address
504 Onyx CtMesquite, TX 75149-7530
Phone 972-951-1283
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All 86 Physician Assistant providers in Irving · All 5,366 providers in Irving
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