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Jack M Graham, MD
Maternal & Fetal Medicine Physician in Fort Worth, Texas
NPI 1205801347

Jack M Graham is a Maternal & Fetal Medicine Physician based in Fort Worth, TX and is specialized in Maternal & Fetal Medicine. Jack M Graham practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Jack M Graham is 1205801347 and holds a License No. F1600 (Texas).

The current practice location address for Jack M Graham is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-1166 and via fax at 817-702-1405. You can also correspond with Jack M Graham through the mailing address at PO BOX 100186, FORT WORTH, TX - 76185-0186 (mailing address contact number: 817-731-7771).

Location: 1500 S Main St, Fort Worth, TX, 76185-0186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205801347
Provider Name
Jack M Graham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 S Main St, Fort Worth, TX, 76185-0186
Phone Number
817-702-1166
Fax Number
817-702-1405
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8H3360 01 TX BCBS
139366218 05 TX
139366223 05 TX
4227216 01 TX AETNA
139366219 05 TX
10028874 01 TX AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1166
Fax Number
817-702-1405
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1166
Fax Number
817-702-1405
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
F1600 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Maternal & Fetal Medicine
Taxonomy
207VM0101X
License No.
F1600 (Texas)
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
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