Provider Demographics
NPI:1841636404
Name:GRAHAM, BRIAN DONALD (APRN-PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:DONALD
Last Name:GRAHAM
Suffix:
Gender:M
Credentials:APRN-PMHNP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8701 NEW TRAILS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4546
Mailing Address - Country:US
Mailing Address - Phone:281-367-1015
Mailing Address - Fax:281-367-1966
Practice Address - Street 1:8701 NEW TRAILS DR STE 150
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4546
Practice Address - Country:US
Practice Address - Phone:281-367-1015
Practice Address - Fax:281-367-1966
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP124890363LP0808X
IN71004432A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1366562225OtherGROUP NPI
TXMG2900985OtherDEA
TXAP124890OtherAPRN-CNP