Robert R Graham, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Weimar, TX
NPI 1811099153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811099153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 027848 (TX)
- Practice address
- 400 Youens Dr
Weimar, TX 78962 - Phone
- (979) 725-9531
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027848 | TX | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 027848 | TX | Yes |
Addresses
Primary practice location
400 Youens Dr
Weimar, TX 78962
Mailing address
1570 CR 250
Weimar, TX 78962
Phone (979) 263-5200
Other providers in Weimar, TX
- Jorge A Duchicela
- Olga I Duchicela
- Wendy Lynn Florus
- Duwayne Gardner
- Leo Dan Gordon
- Hatch
- Loueva Hatfield
- Judi Henneke
- Hernan Patino, MD, PA
- House of Nurses, Incorporated
All providers in Weimar, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.