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Derrick Benjamin Graham, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1649917212

Derrick Benjamin Graham is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Derrick Benjamin Graham practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Derrick Benjamin Graham is 1649917212 and holds a License No. BP10080217 (Texas).

The current practice location address for Derrick Benjamin Graham is 3601 4Th St - Stop 7217, Lubbock, TX and can be reached out via phone at 806-743-2020 and via fax at 806-743-1782.

Location: 3601 4Th St - Stop 7217, Lubbock, TX, 79430-7217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649917212
Provider Name
Derrick Benjamin Graham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th St - Stop 7217, Lubbock, TX, 79430-7217
Phone Number
806-743-2020
Fax Number
806-743-1782
Provider Enumeration Date
05/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St - Stop 7217
City
Lubbock
State
Texas
Zip
79430-7217
Phone Number
806-743-2020
Fax Number
806-743-1782
person
Provider Business Mailing Address Details
Address
3601 4Th St - Stop 7217
City
Lubbock
State
Texas
Zip
79430-7217
Phone Number
806-743-2020
Fax Number
806-743-1782
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10080217 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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