Graham, Moira E
Graham, Moira E is an sole proprietor health care provider with primary practice located at 1117 W De La Rosa St , Del Rio TX 78840. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Graham, Moira E can be contacted via phone (830) 768-4800.Contact Information
Primary practice address
1117 W De La Rosa St
Del Rio TX 78840
Phone: (830) 768-4800
Fax: (830) 768-4844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 633353 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | A109911 | Texas |
Profile Details
NPI number | 1649243494 |
---|---|
LBN Legal business name | Graham, Moira E |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 10th, 2006 |
Last updated | Nov 9th, 2023 - about 2 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 | 1649243494 | NPPES |
Texas | MEDICAID | 1411407-08 |
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