| Kevin Graham, | |
|
221 3rd St W, Jbsa Randolph, TX 78150-4800 | |
| (210) 221-6144 | |
| Not Available |
| Full Name | Kevin Graham |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 221 3rd St W, Jbsa Randolph, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346671765 | NPI | - | NPPES |
| NA | Other | TRICARE/DOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Universal Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548477805 PECOS PAC ID: 5496840928 Enrollment ID: O20070928000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Graham, 221 3rd St W, Jbsa Randolph, TX 78150-4800 Ph: (210) 221-6144 | Kevin Graham, 221 3rd St W, Jbsa Randolph, TX 78150-4800 Ph: (210) 221-6144 |
Mr. Andrew Stuntz Mccampbell, PA-C, DMSC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W, Jbsa Randolph, TX 78150 Phone: 210-652-4264 |
Seth Ravid, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 203-927-3454 |
Cindy Yie Lauvetz, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-6550 |
Mrs. Jacqueline E Bvlgari, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 808-282-2080 |
Mr. Kevin Stuessy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-0304 |
Mr. Juan D Moreno, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 210-652-6550 Fax: 210-292-4130 |
Ms. Victoria Palin Wu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150 Phone: 512-659-0228 |