AUDREY L. GRAHAM, MD, PA
NPI 1518155258
Specialist in Dallas, TX

Active since October 09, 2007
3310 LIVE OAK ST, 400, DALLAS, TX 75204(214) 823-6500(214) 823-6816 Get Directions Write a Review

NPPES record last updated: June 26, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Audrey L. Graham, Md, Pa NPPES

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

AUDREY L. GRAHAM, MD, PA (NPI 1518155258) is a healthcare organization registered as a specialist in Dallas, Texas and active in the NPI registry since October 2007. The organization lists Margaret Kannady, Billing, as its authorized official.

NPPES Registry Identity

NPI1518155258
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAUDREY L. GRAHAM, MD, PA
Location Address3310 LIVE OAK ST, 400Dallas, TX 75204-6147
Mailing Address3310 Live Oak St, 400Dallas, TX 75204-6147
Fax(214) 823-6816
Organization SubpartNo
Authorized OfficialMargaret KannadyBilling · (972) 613-5379
Enumeration DateOctober 9, 2007
Last NPPES UpdateJune 26, 2009
NPI 1518155258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · H7060
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3310 LIVE OAK ST, Dallas, TX 75204

Other Identifiers 3

Medicaid141549901TX
Medicare PIN00029R
Medicare UPING82951

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Dentist
3310 LIVE OAK ST, #200
DALLAS, TX 75204
Psychologist (Clinical)
3310 LIVE OAK ST, BEHAVIORAL HEALTH & SOCIAL SERVICES
DALLAS, TX 75204
Obstetrics & Gynecology
3310 LIVE OAK ST, SUITE 400
DALLAS, TX 75204
Nurse Practitioner (Family)
3310 LIVE OAK ST
DALLAS, TX 75204
Nurse Practitioner (Family)
3310 LIVE OAK ST, YOUTH & FAMILY CENTER
DALLAS, TX 75204
Pediatrics
3310 LIVE OAK ST, SUITE 250
DALLAS, TX 75204
Doula
3310 LIVE OAK ST, SUITE 201
DALLAS, TX 75204
Pediatrics
3310 LIVE OAK ST, COPC ADMINISTRATION
DALLAS, TX 75204

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 Audrey L. Graham, MD, PA's NPI number?

The NPI number for Audrey L. Graham, MD, PA is 1518155258. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Audrey L. Graham, MD, PA located?

Audrey L. Graham, MD, PA is located at 3310 Live Oak St 400, Dallas, TX 75204. The listed phone number is (214) 823-6500.

What is Audrey L. Graham, MD, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Audrey L. Graham, MD, PA was last updated on June 26, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.