Graham, Kathleen

Graham, Kathleen is an individual health care provider with primary practice located at 101 B Parking Way , Lake Jackson TX 77566. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Graham, Kathleen can be contacted via phone (979) 297-7369.

Contact Information

Primary practice address
101 B Parking Way Lake Jackson TX 77566
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 17248 Texas

Profile Details

NPI number 1437361003
LBN Legal business name Graham, Kathleen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1437361003 NPPES
Texas Other D17248 TEXAS CHIP PROVIDER

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