Glenn R Graves, M.D.

NPI #1104820893 in Austin, Texas

Provider Information

NPI Number: 1104820893
Entity Type: Individual
Name: Glenn R Graves, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 9, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2555 WESTERN TRAILS BLVD
Address 2: STE 101
City: Austin
State: Texas
ZIP Code: 78745-1574
Phone: (512) 892-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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