MEDICARE: GRAHAM HOSPITAL DISTRICT

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
1	207Q00000X	Family Medicine Physician
2	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1922057561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAHAM HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	820 MONTGOMERY RD
Second Line	:	SUITE 202
City	:	GRAHAM
State	:	TX
Zip	:	76450-4200
Country	:	US
Telephone Number	:	940-549-7741
Fax Number	:	940-549-6265

Provider Business Practice Location Address
First Line	:	820 MONTGOMERY RD
Second Line	:	SUITE 202
City	:	GRAHAM
State	:	TX
Zip	:	76450-4200
Country	:	US
Telephone Number	:	940-549-7741
Fax Number	:	940-549-6265

Authorized Official
Title or Position	:	DIRECTOR OF BUSINESS OFFICE
Name	:	DORA CASTRO
Credential	:
Telephone Number	:	940-521-5410

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/08/2023

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Directions to “GRAHAM HOSPITAL DISTRICT ” Practice Location

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