Graham, Judith Elaine
Graham, Judith Elaine is an sole proprietor health care provider with primary practice located at 212 S Bliss Ave , Dumas TX 79029-3806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Graham, Judith Elaine 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | L3889 | Texas |
Profile Details
| NPI number | 1326152141 |
|---|---|
| LBN Legal business name | Graham, Judith Elaine |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326152141 | NPPES |
| Texas | Other | 055996 | FIRSTCARE |
| Texas | Other | TXB158040 | FIRSTCARE |
| Texas | Other | 8G5570 | FIRSTCARE |
| Texas | MEDICAID | 154264903 | FIRSTCARE |
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