Moira E Graham, PNP | |
1117 W De La Rosa St, Del Rio, TX 78840 | |
(830) 768-4800 | |
(830) 768-4844 |
Full Name | Moira E Graham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1117 W De La Rosa St, Del Rio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649243494 | NPI | - | NPPES |
1411407-08 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 633353 (Texas) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | A109911 (Texas) | Primary |
Entity Name | United Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710980669 PECOS PAC ID: 7618957135 Enrollment ID: O20040817000497 |
Entity Name | Val Verde Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
Entity Name | Amistad Medical Professionals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912211913 PECOS PAC ID: 7719171545 Enrollment ID: O20101104001611 |
Mailing Address | Practice Location Address |
---|---|
Moira E Graham, PNP Po Box 1470, Eagle Pass, TX 78853-1470 Ph: (830) 773-8917 | Moira E Graham, PNP 1117 W De La Rosa St, Del Rio, TX 78840 Ph: (830) 768-4800 |
Clover C Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 N Bedell Ave Ste A, Del Rio, TX 78840 Phone: 830-775-8700 Fax: 830-775-8711 | |
Abigail Christine Lira, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 N Bedell Ave, Del Rio, TX 78840 Phone: 830-768-9200 | |
Lisa Ann Gomez, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 E Academy St, Del Rio, TX 78840 Phone: 830-422-3305 Fax: 855-458-3317 | |
Cynthia M Hernandez, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N Bedell Ave, Del Rio, TX 78840 Phone: 830-774-2505 | |
Leticia Ortiz, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 N Bedell Ave, Del Rio, TX 78840 Phone: 830-768-9200 Fax: 830-768-3534 | |
Stephanie Wolfe, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 913 S Main St, Del Rio, TX 78840 Phone: 830-774-5534 Fax: 830-774-0890 | |
Rebecca Tarango Fernandez, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 E Academy St, Del Rio, TX 78840 Phone: 830-422-3305 Fax: 855-458-3317 |