Graham, Ted
Graham, Ted is an sole proprietor health care provider with primary practice located at 3134 Briarcrest Dr , Bryan TX 77802-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Graham, Ted can be contacted via phone (979) 314-2323.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | R0007 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 200000436 | North Carolina |
Profile Details
| NPI number | 1093756249 |
|---|---|
| LBN Legal business name | Graham, Ted |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Apr 8th, 2020 - about 6 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 | 1093756249 | NPPES |
| North Carolina | MEDICAID | 891261N |
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