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NPI Code Detail

MEDICARE: DR. REESE CABOT GRAVES MD

MEDICARE: DR. REESE CABOT GRAVES MD
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
1207Q00000XFamily Medicine PhysicianM8006TX
2207V00000XObstetrics & Gynecology PhysicianM8006TX

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 : 1679757652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REESE CABOT GRAVES MD
Provider Business Mailing Address
First Line : 1410 E RENNER RD STE 201
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-2227
Country : US
Telephone Number : 972-234-3311
Fax Number : 972-272-5969
Provider Business Practice Location Address
First Line : 1410 E RENNER RD STE 201
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-2227
Country : US
Telephone Number : 972-312-3311
Fax Number : 972-669-8072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2007
Last Update Date : 05/29/2024

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Directions to “ DR. REESE CABOT GRAVES MD” Practice Location

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