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NPI Code Detail

MEDICARE: MR. MICHAEL GRAVES RN,BSN ,MT,NMP

MEDICARE: MR. MICHAEL GRAVES RN,BSN ,MT,NMP
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
1225400000XRehabilitation Practitioner743151864TX
2225700000XMassage TherapistMT002051TX

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 : 1194857821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL GRAVES RN,BSN ,MT,NMP
Provider Business Mailing Address
First Line : 4141 SOUTHWEST FWY STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7334
Country : US
Telephone Number : 713-528-2097
Fax Number : 713-960-1122
Provider Business Practice Location Address
First Line : 4141 SOUTHWEST FWY STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7334
Country : US
Telephone Number : 713-528-2097
Fax Number : 713-665-7702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 01/10/2024

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