Timothy Eugene Graham, M.D.
Radiology, Diagnostic Radiology in Longview, TX. Individual provider (NPI-1).
NPI number1235196742
StatusActive
Last updated in NPPESFeb 7, 2020
Details
- NPI
- 1235196742
- Entity type
- Individual (NPI-1)
- Name
- Timothy Eugene Graham
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2006
- Certification date
- Feb 7, 2020
- Last updated
- Feb 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | H4356 | TX | Yes |
Practice location
2901 N 4th StLongview, TX 75605-5128
Phone 903-232-3660
Mailing address
816 W Cannon StFort Worth, TX 76104-3146
Phone 817-321-0404 · Fax 817-321-0486
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