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GLENN R GRAVES M.D.
NPI 1104820893
Family Medicine in Austin, TX

Active since June 09, 2005
2555 WESTERN TRAILS BLVD, STE 101, AUSTIN, TX 78745(512) 892-6600(512) 892-6609 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn R Graves M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN R GRAVES M.D. (NPI 1104820893) is an individual family medicine provider in Austin, Texas, licensed in Texas (D5017) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1104820893
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLENN R GRAVESCredential: M.D.
Location Address2555 WESTERN TRAILS BLVD, STE 101Austin, TX 78745-1574
Mailing Address2555 Western Trails Blvd, Ste 101Austin, TX 78745-1574 · (512) 892-6600 · Fax (512) 892-6609
Phone(512) 892-6600
Fax(512) 892-6609
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104820893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · D5017
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2555 WESTERN TRAILS BLVD, Austin, TX 78745
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Other Identifiers 2

Medicare UPINB87954TX
Medicare ID-Type Unspecified88C343TX

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH J MALLESKE M.D.
Family Medicine
2555 WESTERN TRAILS BLVD, STE 101
AUSTIN, TX 78745
Travis County (512) 892-6600
TODD CANON MD
Family Medicine
2555 WESTERN TRAILS BLVD, SUITE 101
AUSTIN, TX 78745
Travis County (512) 892-6600
TEXAS CARDIOVASCULAR CONSULTANTS, PA
Internal Medicine (Cardiovascular Disease)
2555 WESTERN TRAILS BLVD, SUITE 101
AUSTIN, TX 78745
Travis County (512) 617-6000
CELIA BETH SERVIN MD
Family Medicine
2555 WESTERN TRAILS BLVD, STE 101
AUSTIN, TX 78745
Travis County (888) 663-6331
ABOUT SMILES DENTAL CARE
Dentist (General Practice)
2555 WESTERN TRAILS BLVD, SUITE 104
AUSTIN, TX 78745
Travis County (512) 444-5577
SOUTH AUSTIN MEDICAL CLINIC PA
Family Medicine
2555 WESTERN TRAILS BLVD, SUITE 101
AUSTIN, TX 78745
Travis County (512) 892-6600
DR. WALTER R. LEVERICH M.D.
Family Medicine
2555 WESTERN TRAILS BLVD, SUITE 101
AUSTIN, TX 78745
Travis County (512) 892-6600
ABOUT SMILES FAMILY DENTAL
Dentist (General Practice)
2555 WESTERN TRAILS BLVD, SUITE 104
AUSTIN, TX 78745
Travis County (512) 444-5577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Graves's NPI number?

The NPI number for Glenn Graves is 1104820893. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Glenn Graves located?

Glenn Graves practices at 2555 Western Trails Blvd Ste 101, Austin, TX 78745. The listed phone number is (512) 892-6600.

What is Glenn Graves's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glenn Graves was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.