Graves, Glenn R

Graves, Glenn R is an individual health care provider with primary practice located at 2555 Western Trails Blvd Ste 101, Austin TX 78745-1574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graves, Glenn R can be contacted via phone (512) 892-6600.

Contact Information

Primary practice address
2555 Western Trails Blvd Ste 101 Austin TX 78745-1574
Phone: (512) 892-6600
Fax: (512) 892-6609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D5017 Texas

Profile Details

NPI number 1104820893
LBN Legal business name Graves, Glenn R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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