Provider Demographics
NPI:1750312989
Name:GRAHAM, JAMES MICHAEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:GRAHAM
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:MICHAEL
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9200 PINECROFT
Mailing Address - Street 2:SUITE 280
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-296-9444
Mailing Address - Fax:281-419-6788
Practice Address - Street 1:9200 PINECROFT
Practice Address - Street 2:SUITE 280
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-296-9444
Practice Address - Fax:281-419-6788
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8142207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE02195Medicare UPIN
TX00J10WMedicare UPIN
TX001J10WMedicare PIN