Active NPI
Paul a. Grayburn, MD, PA
- Cardiovascular Disease Physician
- Dallas, TX
National Provider Identifier
1801228366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- F9495
- Legal business name
- PAUL A. GRAYBURN, MD, PA
- Practice address
- 621 N Hall St
Suite H030
Dallas, TX 75226-1339 - Phone
- (214) 820-7500
- NPI assigned
- Aug 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelley Hanger
- Title
- Billing Manager
- Phone
- (972) 429-7737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | F9495 | TX | Primary |
Addresses
Primary practice location
621 N Hall St
Suite H030
Dallas, TX 75226-1339
Mailing address
4525 Bentley Dr
Plano, TX 75093-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11908305 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
621 N Hall St
Ste H030
Dallas, TX 75226
Phone (214) 820-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1801228366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 BENTLEY DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750937150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 N HALL ST",
"address_2": "SUITE H030",
"city": "DALLAS",
"state": "TX",
"postal_code": "752261339",
"telephone_number": "214-820-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL A. GRAYBURN, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "HANGER",
"authorized_official_first_name": "KELLEY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "972-429-7737"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "F9495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11908305",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.