Audrey L. Graham, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H7060 Issued in TX

Legal business name

AUDREY L. GRAHAM, MD, PA

Practice address

3310 Live Oak St
400
Dallas, TX 75204-6147

Phone

(214) 823-6500

Fax

(214) 823-6816

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Margaret Kannady

Title

Billing

Phone

(972) 613-5379

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1518155258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 LIVE OAK ST",
            "address_2": "400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 LIVE OAK ST",
            "address_2": "400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046147",
            "telephone_number": "214-823-6500",
            "fax_number": "214-823-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY L. GRAHAM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "KANNADY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "972-613-5379"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141549901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Aubert
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• Aubry Abramson
• Auburndale Corporation (Corporate Health Management)
• Mary Louise Auchus, MD
• Powell Britain Auer, M.D.
• David Maxwell Auerbach, MD
• Heather Brooke Auerbach, PNP
• Lynne Auerbach, D.C., D.A.B.C.O
• Anna August, M.D.

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.