NPI Code Detail JSON Logo

1124246954 NPI number — HOUSTON FREDERICK GRAVES M.D.

NPI Number: 1124246954
Health Care Provider/Practitioner: HOUSTON FREDERICK GRAVES M.D.

Information about “1124246954” NPI (HOUSTON FREDERICK GRAVES M.D.) exists in 1124246954 in HTML format HTML  |  1124246954 in plain Text format TXT  |  1124246954 in PDF (Portable Document Format) PDF  |  1124246954 in an XML format XML  formats.

NPI Number : 1124246954 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124246954",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRAVES",
    "FirstName": "HOUSTON",
    "MiddleName": "FREDERICK",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "234 37TH AVE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37209-4804",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "662-934-1517",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "VANDERBILT UNIVERSITY MEDICAL CENTER DPT OF",
    "SecondLinePracticeLocationAddress": "1161 21ST AVENUE SOUTH, MED CENTER N., SUITE CCC-1106",
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37232-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-343-1187",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2007",
    "LastUpdateDate": "08/06/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "MD0000048359",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "21449",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "E6918",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.