Healthcare Provider Details

I. General information

NPI: 1053246520
Provider Name (Legal Business Name): GRAVES MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 KOHLERS XING STE 450
KYLE TX
78640-2464
US

IV. Provider business mailing address

115 KOHLERS XING STE 450
KYLE TX
78640-2464
US

V. Phone/Fax

Practice location:
  • Phone: 512-882-4554
  • Fax:
Mailing address:
  • Phone: 512-882-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NATHAN ADAM GRAVES
Title or Position: SOLE OWNER
Credential: MD
Phone: 512-882-4554