Graham, Gordon Keith

Graham, Gordon Keith is an sole proprietor health care provider with primary practice located at 212 S Bliss Ave , Dumas TX 79029-3806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Graham, Gordon Keith can be contacted via phone (806) 934-4979.

Contact Information

Primary practice address
212 S Bliss Ave Dumas TX 79029-3806
Phone: (806) 934-4979
Fax: (806) 934-4984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X L3888 Texas

Profile Details

NPI number 1689788416
LBN Legal business name Graham, Gordon Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Mar 2nd, 2020 - about 4 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 1689788416 NPPES
Texas Other 8G5571 BCBS
Texas Other TXB161287 BCBS
Texas Other 024116 BCBS
Texas MEDICAID 154266403 BCBS

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