Avery, Graham Douglas
Avery, Graham Douglas is an individual health care provider with primary practice located at 740 Hospital Dr Ste 200, Beaumont TX 77701-4663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Avery, Graham Douglas can be contacted via phone (409) 832-8883.Contact Information
Primary practice address
740 Hospital Dr Ste 200
Beaumont TX 77701-4663
Phone: (409) 832-8883
Fax: (409) 833-5755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | F3725 | Texas |
Profile Details
| NPI number | 1285666024 |
|---|---|
| LBN Legal business name | Avery, Graham Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jun 26th, 2008 - about 16 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 | 1285666024 | NPPES |
| Texas | MEDICAID | 114734004 |
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