Most Relevant Information
Provider Data
| NPI Number: | 1003209529 |
| Provider Name: | BEN RAY GRAHAM PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA09659 |
Most Important Dates
| Enumeration Date: | 03/09/2015 |
| Last Updated: | 03/09/2015 |
Provider Practice Location
1901 N MACARTHUR BLVD
IRVING
TX
750612220
Practice Location Phone/Fax
| Phone: | 9725798100 |
| Fax: |
Provider Mailing Location
504 ONYX CT
MESQUITE
TX
751497530
Provider Mailing Phone/Fax
| Phone: | 9729511283 |
| Fax: |