Andre Dean Graham (NPI# 1376525253, PAC ID# 1658472139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1376525253 |
| PAC ID by PECOS | 1658472139 |
| Professional Enrollment ID | I20070727000488 |
| Full Name | Andre Dean Graham |
| Organization Legal Name | TEXAS SPECIALTY PHYSICIANS |
| Address |
2203 W Lampasas St Ennis TX 75119-5644 |
| Phone Number | 9038723005 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6305901927 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450400 | PARKVIEW REGIONAL HOSPITAL |
| 450833 | ENNIS REGIONAL MEDICAL CENTER |
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 2203 W Lampasas St, Ennis, TX 75119-5644 | 9038723005 | TEXAS SPECIALTY PHYSICIANS |
| Organization Legal Name | TEXAS SPECIALTY PHYSICIANS |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ro-jon A Grogans | General Surgery | Texas Specialty Physicians | 126 Medical Dr, Suite C, Palestine, TX 75801-8505 |
| Tao A Ho | Internal Medicine | Texas Specialty Physicians | 2201 W Lampasas St, Ennis, TX 75119-5644 |
| Jerry Lamont Mckenzie | Family Medicine | Texas Specialty Physicians | 514 S Bonham St, Mexia, TX 76667-3664 |
| Travis L Wacha | Nurse Practitioner | Texas Specialty Physicians | 514 S Bonham St, Suite H, Mexia, TX 76667-3664 |
| Miguel E Castellanos | Cardiovascular Disease (cardiology) | Texas Specialty Physicians | 2900 S Loop, Suite 256, Palestine, TX 75801-6958 |
| Michael E Trice | Orthopedic Surgery | Texas Specialty Physicians | 2900 S Loop, Suite 256, Palestine, TX 75801-6958 |
| Rebecca L Lucas | Nurse Practitioner | Texas Specialty Physicians | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Nhue A Ho | Internal Medicine | Texas Specialty Physicians | 2201 W Lampasas St, Ennis, TX 75119-5644 |
| Danny L Bowman | Obstetrics/gynecology | Texas Specialty Physicians | 2900 S Loop, Suite 256, Palestine, TX 75801-6958 |
| Robert A Launikitis | Orthopedic Surgery | Texas Specialty Physicians | 4002 S Loop, Suite 256, Palestine, TX 75801-8491 |
| Street Address |
2203 W LAMPASAS ST |
| City | ENNIS |
| State | TX |
| Zip | 75119-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fredric C Puckett | Family Medicine | 2203 W Lampasas St, Suite 111, Ennis, TX 75119-5667 | |
| Raymond W Blair Jr. | Family Medicine | Texas Health Care Pllc | 2203 W Lampasas St, 101 Privia Med Grp N Tx, Ennis, TX 75119-5644 |
| Rebecca L Lucas | Nurse Practitioner | Texas Specialty Physicians | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Edward L Holt | Obstetrics/gynecology | Edward Lee Holt, Do, P.a. | 2203 W Lampasas St, Suite 210, Ennis, TX 75119-5644 |
| Felicia L Lewis | Internal Medicine | Lakewood Hills Internal Medicine, LLC | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William C Davis | Chiropractic | 109 Newman Rd, Ennis, TX 75119-0705 | |
| Deana Marie Wright | Physical Therapy | Nw Main Chiropractic, P.a. | 109 Newman Rd, Ennis, TX 75119-0705 |
| Deandre Brown | Internal Medicine | 1200 Dolfie Ln, Suite 101, Ennis, TX 75119-1639 | |
| Kimberly D Hortman | Nurse Practitioner | Urgent Plus Care LLC | 1200 Dolfie Ln, Suite 101, Ennis, TX 75119-1639 |
| Neal A Zeigler | Emergency Medicine | Urgent Plus Care LLC | 1200 Dolfie Ln, Suite 101, Ennis, TX 75119-1639 |
| David Teran-chavez | Physician Assistant | Urgent Plus Care LLC | 1200 Dolfie Ln, Ennis, TX 75119-1639 |
| Jerry L Northcutt | Optometry | 2405 Yorkstown Dr, Ennis, TX 75119-2191 | |
| Basem Jassin | Otolaryngology | 818 W Ennis Ave, Ennis, TX 75119-3810 | |
| Hector Condarco | Nurse Practitioner | 109 Nw Main St, Ennis, TX 75119-4079 | |
| Daniel F. Gabriel | Chiropractic | 305 E Knox St, Suite A, Ennis, TX 75119-4163 | |
| Find all physicians in zip 75119 | |||
| City | ENNIS |
| Zip Code | 75119 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ENNIS + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.