Jamie Graham
Pediatric Otolaryngology
3061 W Southlake Blvd Ste 120
Southlake
, Texas 76092-0309
Jamie Graham
Pediatric Otolaryngology
3061 W Southlake Blvd Ste 120
Southlake
, Texas 76092-0309
(972) 315-9053
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Jamie Graham
- 783 N Denton Tap Rd Ste 200
- Coppell, TX
- Zip : 75019-2171
- Fax : (972) 315-9053
- Phone : (972) 745-8400
Second Address
- Jamie Graham
- 3061 W Southlake Blvd Ste 120
- Southlake, TX
- Zip : 76092-0309
- Fax : (972) 315-9053
- Phone : (817) 337-3339
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 81276 | TX |
National Provider Identifier
| NPI | 1932877289 |
|---|---|
| Provider Name | Jamie Graham |
| First Address | Coppell, TX 75019-2171 |
| Second Address | Southlake, TX 76092-0309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2021 |
| Last Update Date | 01/09/2021 |
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.