Provider Demographics
NPI:1205989290
Name:GRAF, PAUL ALBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALBERT
Last Name:GRAF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 DREXEL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5149
Mailing Address - Country:US
Mailing Address - Phone:281-580-8848
Mailing Address - Fax:
Practice Address - Street 1:20423 KUYKENDAHL RD
Practice Address - Street 2:200
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3491
Practice Address - Country:US
Practice Address - Phone:281-580-8848
Practice Address - Fax:281-826-0084
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12113122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist