Clara Graham, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06810 Issued in TX

Practice address

7924 N Macarthur Blvd
# 3081
Irving, TX 75063-3736

Phone

(240) 388-3865

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1447565106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7924 N MACARTHUR BLVD",
            "address_2": "# 3081",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633736",
            "telephone_number": "240-388-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 N MACARTHUR BLVD",
            "address_2": "# 3081",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633736",
            "telephone_number": "240-388-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CLARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracenelly Services Inc.
• Selina Lorraine Graham-Moline, OTR-L, OTD
• Ben Ray Graham, PA-C
• Brandy Nichole Graham, FNP
• Caroline Evelyn Graham, DC
• Marianne Graham, RN, IBCLC
• Jayasree Grandhi, MD
• Jennifer Wong Granger, DPT
• Aja Grant, PT, DPT
• Aliesa Grant

• Medical Physician Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.