MEDICARE: OSCAR DE'PREE GRAVES

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
1	172A00000X	Driver	07554056	TX

General Provider Information

NPI Number	:	1487595484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR DE'PREE GRAVES

Provider Business Mailing Address
First Line	:	23302 TREE BRIGHT LN
Second Line	:	23302 TREE BRIGHT LN
City	:	SPRING
State	:	TX
Zip	:	77373-7058
Country	:	US
Telephone Number	:	737-717-7327
Fax Number	:

Provider Business Practice Location Address
First Line	:	23302 TREE BRIGHT LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77373-7058
Country	:	US
Telephone Number	:	737-717-7327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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Directions to “ OSCAR DE'PREE GRAVES ” Practice Location

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