Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW J GRAHAM, DO
Deactivated Sole ProprietorMATTHEW J GRAHAM, DO is a General Practice healthcare provider located in JBSA-FORT SAM HOUSTON, Texas. NPI 1528716297 is deactivated in the NPPES registry. Verify at CMS.
General Practice · JBSA-FORT SAM HOUSTON, TX
This NPI has been deactivated.
The record was deactivated on March 12, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1528716297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2022
- Last Updated
- Mar 21, 2024
- Deactivated
- Mar 12, 2022
- License
-
0102208207 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM, INTERNAL3551 ROGER BROOKE DR.JBSA-FORT SAM HOUSTON, TX, 782344504Browse TX providers · Browse ZIP 78234
- Phone
- 2102927805
- Fax
- 2102927868
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in JBSA-FORT SAM HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| ERIK HEGEMAN | MD | 1235764176 |
| TREVOR MCBRIDE | — | 1760077150 |
| MICHAEL AUSTIN CRAIG | MD | 1558949438 |
| NADIYA VOLODYMYRIVNA YERICH | MD | 1033864475 |
| MOLLY STALONS | MD | 1396495032 |
| DR. WYATT ALEXANDER RIVAS SMITH | MD, MPH | 1356048193 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.