DR. Blane A Graves, MD

NPI #1124010301 in Texarkana, Texas

Provider Information

NPI Number: 1124010301
Entity Type: Individual
Name: DR. Blane A Graves, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 16, 2005
Last Updated: Sep 24, 2013

Practice Location

Address: 1408 COLLEGE DR
City: Texarkana
State: Texas
ZIP Code: 75503-3534
Phone: (903) 794-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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