Healthcare Provider Details

I. General information

NPI: 1427983709
Provider Name (Legal Business Name): SHERI L GRAVES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERI L DAVENPORT

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 GRAND CENTRAL PKWY BLDG F
CONROE TX
77304-3185
US

IV. Provider business mailing address

8058 COUNTY ROAD 2751
BUFFALO TX
75831-1206
US

V. Phone/Fax

Practice location:
  • Phone: 936-283-6314
  • Fax:
Mailing address:
  • Phone: 936-436-3565
  • Fax: 936-436-3565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1373575
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: