Provider Demographics
NPI:1437528387
Name:ROBSON, GRAHAM JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:JOHN
Last Name:ROBSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 W MOCKINGBIRD LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-5208
Mailing Address - Country:US
Mailing Address - Phone:214-613-1210
Mailing Address - Fax:
Practice Address - Street 1:4740 W MOCKINGBIRD LN
Practice Address - Street 2:SUITE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-5208
Practice Address - Country:US
Practice Address - Phone:214-613-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12857111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor