NPI age
20 years
Enumerated 2006-02-22
● Active
Type 1 · Individual
Jack M Graham, M.D.
Graham is 1 of 18 obstetrics & gynecology providers in Fort Worth and 1 of 350 in Texas.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 350 active obstetrics & gynecology providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
1
In the 56% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
1500 S Main St
Fort Worth, TX 761044917
Mailing address
Po Box 100186
Fort Worth, TX 761850186
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1600 W College St
Grapevine, TX 760512100
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their...
-
Obstetrics & GynecologyAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8H3360 | BCBS |
| 05 (TX) | 139366218 | |
| 05 (TX) | 139366223 | |
| 01 (TX) | 4227216 | AETNA |
| 05 (TX) | 139366219 | |
| 01 (TX) | 10028874 | AMERIGROUP |
Practice context
Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.