MOIRA E GRAHAM (NPI# 1649243494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649243494 |
| Entity Type | Individual |
| Full Name | MOIRA E GRAHAM |
| Credential | PNP |
| Practice Address |
1117 W De La Rosa St Del Rio TX 78840 |
| Mailing Address |
Po Box 1470 Eagle Pass TX 78853-1470 |
| Practice Telephone | 8307684800 |
| Practice Fax Number | 8307684844 |
| Mailing Telephone | 8307738917 |
| Mailing Fax Number | 8307731892 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 633353 | TX | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
A109911 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1411407-08 | 05 |
| Street Address |
1117 W DE LA ROSA ST |
| City | DEL RIO |
| State | TX |
| Zip Code | 78840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706141 | John Charles Tiffee | Dentist | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2006-01-30 |
| 1689071987 | Anel N Delgado | Registered Nurse | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2014-12-02 |
| 1265844344 | Paul C. Hessler | Pediatrics | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2014-05-23 |
| 1629320221 | United Medical Centers | Social Worker | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2012-10-05 |
| 1477752939 | Katherine Ann Meyer Vanicek | Dentist | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2007-07-15 |
| 1417167743 | Hardev Arun Patel | Dentist | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2007-05-23 |
| 1124150024 | Deborah Ann Thomson | Physician Assistant | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2007-03-09 |
| 1508995309 | Charles Allen Hare | Physician Assistant | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2007-03-05 |
| 1790832129 | Manuel J Frausto | General Practice | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2007-01-05 |
| 1588711295 | Gerardo Astudillo | Obstetrics & Gynecology | 1117 W De La Rosa St, Del Rio, TX 78840-6224 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
| 1538605621 | Maternity Care Center | Advanced Practice Midwife | 1308 Las Vacas St, Del Rio, TX 78840 | 2017-01-12 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1902232259 | Ruben E Mora | Dentist | 551 W Cantu Rd., Del Rio, TX 78840 | 2013-09-18 |
| 1326489758 | Javier Rodriguez-sanchez | Internal Medicine | 2201 N Bedell Ave Ste E, Del Rio, TX 78840 | 2013-07-15 |
| 1205111267 | Raymond Keith Blottin | Counselor | 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 | 2011-10-20 |
| 1194011072 | Nicole Alexcine Deboer | Physician Assistant | 913 S. Main St., United Medical Centers, Del Rio, TX 78840 | 2011-06-20 |
| 1205125713 | Del Rio Ambulance LLC | Ambulance | 126 W. Ogden St., Del Rio, TX 78840 | 2011-04-05 |
| 1285880476 | Luis Carlos Salinas | Obstetrics & Gynecology | 3614 Cocobolo Street, Del Rio, TX 78840 | 2008-08-07 |
| 1417158239 | Heart Specialists of Texas Pa | Internal Medicine | 1109 Ave K, Del Rio, TX 78840 | 2007-05-30 |
| Find all providers in zip 78840 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.