Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | M3062 | TX |
NPI | 1053337873 |
---|---|
Provider Name | Rachel Heather Quinby-Graves |
First Address | Plano, TX 75093-6989 |
Second Address | Plano, TX 75093-6989 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 27/03/2018 |