Graham, Camille Alicia

Graham, Camille Alicia is an individual health care provider with primary practice located at 4000 Medical Pkwy , Greenville TX 75401-7854. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Graham, Camille Alicia can be contacted via phone (903) 454-6481.

Contact Information

Primary practice address
4000 Medical Pkwy Greenville TX 75401-7854
Phone: (903) 454-6481
Fax: (903) 454-6486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L2908 Texas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X L2908 Texas

Profile Details

NPI number 1720003569
LBN Legal business name Graham, Camille Alicia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 1st, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720003569 NPPES
Texas MEDICAID 149887501

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