Individual provider · Type 1 NPI
Jennifer Blades Graham, MD
General Practice Physician · Dallas, TX
NPI number
1801101464
Active
Practice location
1935 Medical District Dr, Genetics Clinic F3.43
Dallas, TX 75235-7701
Fax (214) 456-2567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 50314 (CO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1801101464
Jennifer Blades Graham, MD's National Provider Identifier is 1801101464, issued on Aug 7, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dallas, TX. The record was last updated on Apr 4, 2016.