Doctor Name: | DR. JUDITH GRACIA GRAVES |
NPI Number: | 1215037833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | J5158 |
Business Practice Address: | 397 Whites Hill Drive Van Alstyne, TX - 75495 |
Business Phone Number: | 2147337985 |
Business Fax Number: | 2147337985 |
Mailing Address: | 397 Whites Hill Rd, VAN ALSTYNE |
State: | TX |
Postal Code: | 754954302 |
Phone Number: | 2147337985 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2006 |
NPI Last Update Date: | 05/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | J5158 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |