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NPI Code Detail

MEDICARE: MELISSA DENISE GRAHAM

MEDICARE: MELISSA DENISE GRAHAM
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1131940TX

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 : 1164205415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DENISE GRAHAM
Provider Business Mailing Address
First Line : 6104 RAINTREE DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7095
Country : US
Telephone Number : 832-963-7545
Fax Number :
Provider Business Practice Location Address
First Line : 6565 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-441-2245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2023
Last Update Date : 01/28/2026

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Directions to “ MELISSA DENISE GRAHAM ” Practice Location

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