Individual ProviderWalter Joseph GrahamStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address42nd And Emile St, Omaha, NE 68198-0001(402) 559-4000PECOS EnrollmentBased on the most recent information from CMS, provider Walter Joseph Graham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982441101Provider TypeIndividualFull NameGraham, Walter JosephGenderMaleSole ProprietorNoEnumeration Date7/15/2024Last Updated7/15/2024Contact InformationPractice LocationPractice Address42nd And Emile St, Omaha, NE 68198-0001Phone(402) 559-4000FaxUnlisted FaxMailing LocationMailing Address11824 Via Grande Dr, Austin, TX 78739-1925PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer