Provider Demographics
NPI:1992719181
Name:SEXTON, ROBERT GRAHAM (M D)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GRAHAM
Last Name:SEXTON
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9186
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75608-9186
Mailing Address - Country:US
Mailing Address - Phone:903-663-4800
Mailing Address - Fax:
Practice Address - Street 1:611 ALCORN DR
Practice Address - Street 2:DEPT. OF RADIOLOGY
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9368
Practice Address - Country:US
Practice Address - Phone:662-293-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-42052085R0202X
MS179012085R0202X
TNMD00000391432085R0202X
MA10179172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS8847115OtherDEA
ARE-4205OtherMEDICAL LICENSE
TNMD0000039143OtherMEDICAL LICENSE
MS17901OtherMEDICAL LICENSE