Graham, Kathleen
Graham, Kathleen is an individual health care provider with primary practice located at 101 B Parking Way , Lake Jackson TX 77566. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Graham, Kathleen can be contacted via phone (979) 297-7369.Contact Information
Primary practice address
101 B Parking Way
Lake Jackson TX 77566
Phone: (979) 297-7369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17248 | Texas |
Profile Details
| NPI number | 1437361003 |
|---|---|
| LBN Legal business name | Graham, Kathleen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437361003 | NPPES |
| Texas | Other | D17248 | TEXAS CHIP PROVIDER |
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