Andre Graham Md Pllc

LBN: Andre Graham Md Pllc
Andre Graham Md Pllc is an health care organization with primary practice located at 7777 Forest Ln Ste C670 , Dallas TX 75230-6804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Andre Graham Md Pllc can be contacted via phone (972) 789-5539, or through Graham, Andre Dean via phone (972) 351-6830.

Contact Information

Primary practice address
7777 Forest Ln Ste C670 Dallas TX 75230-6804
Phone: (972) 789-5539
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Andre Dean Doctor of Medicine (MD)
Phone: (972) 351-6830

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1548730997
LBN Legal business name Andre Graham Md Pllc
DBA Doing business as
Authorized official Graham, Andre Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2018
Last updated Nov 28th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548730997 NPPES
Texas MEDICAID 185966202

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