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NPI Code Detail

MEDICARE: CYNTHIA ANN GRAUL NP C

MEDICARE:   CYNTHIA ANN GRAUL  NP C
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
1363L00000XNurse Practitioner733142TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18Y2062OTHERTXBCBSTX
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144308529
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA ANN GRAUL NP C
Provider Business Mailing Address
First Line : 2835 GRAND AVE
Second Line :
City : DALLAS
State : TX
Zip : 75215-1647
Country : US
Telephone Number : 214-928-7724
Fax Number : 214-928-7740
Provider Business Practice Location Address
First Line : 2835 GRAND AVE
Second Line :
City : DALLAS
State : TX
Zip : 75215-1647
Country : US
Telephone Number : 214-928-7724
Fax Number : 214-928-7740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 03/31/2022

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Directions to “ CYNTHIA ANN GRAUL NP C” Practice Location

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