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NPI Code Detail

MEDICARE: GARY WILBUR GRAFA MD

MEDICARE:   GARY WILBUR GRAFA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistG8141TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023001534
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY WILBUR GRAFA MD
Provider Business Mailing Address
First Line : 3305 NORTH CALAIS
Second Line : SUITE 200
City : SHERMAN
State : TX
Zip : 75090
Country : US
Telephone Number : 903-893-1116
Fax Number :
Provider Business Practice Location Address
First Line : 3305 NORTH CALAIS
Second Line : SUITE 200
City : SHERMAN
State : TX
Zip : 75090
Country : US
Telephone Number : 903-893-1116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 02/21/2008

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