Graham, Eric Kevin

Graham, Eric Kevin is an individual health care provider with primary practice located at 3801 William D Tate Ave # 800A , Grapevine TX 76051-8755. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Graham, Eric Kevin can be contacted via phone (817) 488-8998.

Contact Information

Primary practice address
3801 William D Tate Ave # 800A Grapevine TX 76051-8755
Phone: (817) 488-8998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1457966913
LBN Legal business name Graham, Eric Kevin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2020
Last updated Oct 5th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457966913 NPPES
Texas Other PA13678 TEXAS PHYSICIAN ASSISTANT BOARD
Texas Other 1172707 TEXAS PHYSICIAN ASSISTANT BOARD

Popular Providers