MR. Austin Thomas Graham, OPA-C

NPI #1366875775 in Georgetown, Texas

Provider Information

NPI Number: 1366875775
Entity Type: Individual
Name: MR. Austin Thomas Graham, OPA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OPA-C
Enumeration Date: Aug 21, 2013
Last Updated: Aug 21, 2013

Practice Location

Address: 1103 WILLIAMS DR STE 1
City: Georgetown
State: Texas
ZIP Code: 78628-4109
Phone: (512) 943-4506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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