DR. GORDON KEITH GRAHAM M.D. NPI 1689788416

NPI Information

  • NPI: 1689788416
  • Provider Name: DR. GORDON KEITH GRAHAM, M.D.
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 212 S BLISS AVE
    DUMAS, TX
    ZIP 79029
  • Phone: (806) 934-4979

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NPI Details

DR. Gordon Keith Graham, M.D. is an obstetrics obstetrics gynecology in Dumas, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Gordon Keith Graham, M.D. NPI is 1689788416. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

212 S BLISS AVE
DUMAS, TX
ZIP 79029-806
Phone: (806) 934-4979
Fax: (806) 934-4984

The NPI 1689788416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 3/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsL3888TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1024116OTHERTEXASFIRSTCARE
2154266403MEDICAIDTEXAS
38G5571OTHERTEXASBCBS
4TXB161287OTHERTEXASMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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