Jack M Graham
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
1500 S Main St
Fort Worth
, Texas 76104-4917
Jack M Graham
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
1500 S Main St
Fort Worth
, Texas 76104-4917
(817) 731-7774
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Jack M Graham
- Po Box 100186
- Fort Worth, TX
- Zip : 76185-0186
- Fax : (817) 731-7774
- Phone : (817) 731-7771
Second Address
- Jack M Graham
- 1500 S Main St
- Fort Worth, TX
- Zip : 76104-4917
- Fax : (817) 702-1405
- Phone : (817) 702-1166
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FAQs
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What type of doctor is Jack M Graham
In what state does Jack M Graham practice in?
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What is Jack M Graham ’s gender?
Is Jack M Graham a sole practitioner?
Is Jack M Graham accepting new patients?
What languages does Jack M Graham speak?
Does Jack M Graham accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | F1600 | TX |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | F1600 | TX |
National Provider Identifier
| NPI | 1205801347 |
|---|---|
| Provider Name | Jack M Graham |
| First Address | Fort Worth, TX 76185-0186 |
| Second Address | Fort Worth, TX 76104-4917 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 28/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10028874 | AMERIGROUP (01) | TX |
| 139366218 | (05) | TX |
| 139366219 | (05) | TX |
| 139366223 | (05) | TX |
| 4227216 | AETNA (01) | TX |
| 8H3360 | BCBS (01) | TX |
| C16249 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.