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NPI 1366875775

IndividualActive

Austin Graham, OPA-C

NPI 1366875775 · Contractor · Georgetown, TX

Provider details

NPI number: 1366875775
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: OPA-C
Sex: Male
Sole proprietor: Yes
License: 46-3410679 (TX)

Practice location

1103 Williams Dr Ste 1

Georgetown, TX 78628-4109

Phone: (512) 943-4506

Fax: (512) 943-4515

More TX providers

Mailing address

1103 Williams Drive, Bld4, Ste1

Georgetown, TX 78628

Registry dates

Enumerated: 2013-08-21
Last updated: 2013-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Austin Graham, OPA-C — NPI 1366875775, Georgetown, TX | NPI Central