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
Fax: (830) 768-4844
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649243494 NPPES
Texas MEDICAID 1411407-08

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