Walter E Graham Mdpa

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

H4357 Issued in TX

Legal business name

WALTER E GRAHAM MDPA

Practice address

1331 Northpark Dr
Kingwood, TX 77339-1636

Phone

(281) 359-5330

Fax

(281) 359-6117

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Walter Graham, MDNPI 1902880529

Title

President/Owner

Phone

(281) 359-5330

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter E Graham, MD

  • Anesthesiology Physician
  • Kingwood, TX
  • NPI 1902880529
  NPD (past) Authorized official

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1851541783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 NORTHPARK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391636",
            "telephone_number": "281-359-5330",
            "fax_number": "281-359-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 NORTHPARK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391636",
            "telephone_number": "281-359-5330",
            "fax_number": "281-359-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER E GRAHAM MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "281-359-5330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "H4357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "PH0533",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Jennifer Yates Walker, CCC/SLP
• Andrew Wallace, PT, DPT
• Travis M Waller
• Ruby O'Bannon Wallinger, BCBA
• Joshua Ray Walters
• Aminata Wane, PMHNP
• Kathy F. Ward, RDN
• Precious Sherice Ward
• Shirley Marie Ware-Gully, LCSW

• All providers in Kingwood, TX
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.