Provider Demographics
NPI:1780646554
Name:GRAVES, JULIA CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:CAROL
Last Name:GRAVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4161 MCKINNEY AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-8213
Mailing Address - Country:US
Mailing Address - Phone:214-219-6655
Mailing Address - Fax:214-219-6660
Practice Address - Street 1:4161 MCKINNEY AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-8213
Practice Address - Country:US
Practice Address - Phone:214-219-6655
Practice Address - Fax:214-219-6660
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1333207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144164402Medicaid
TX8G0322OtherBCBS
TX8G0322OtherBCBS
TX8A0103Medicare PIN
TX080189566Medicare PIN