Graham, Gary Peter

Graham, Gary Peter is an individual health care provider with primary practice located at 1305 W Jefferson St Ste 120 , Waxahachie TX 75165-2251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Graham, Gary Peter can be contacted via phone (972) 923-1457.

Contact Information

Primary practice address
1305 W Jefferson St Ste 120 Waxahachie TX 75165-2251
Phone: (972) 923-1457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X P5810 Texas

Profile Details

NPI number 1356508287
LBN Legal business name Graham, Gary Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated May 13th, 2014 - about 11 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 1356508287 NPPES
Texas MEDICAID 3275828-01
Texas MEDICAID 3275828-02

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