Graham, Suzanne Carol

Graham, Suzanne Carol is an individual health care provider with primary practice located at 3601 4Th St 1A115, Lubbock TX 79430-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Graham, Suzanne Carol can be contacted via phone (806) 743-2155.

Contact Information

Primary practice address
3601 4Th St 1A115 Lubbock TX 79430-0002
Phone: (806) 743-2155
Fax: (806) 743-2117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X H2131 Texas

Profile Details

NPI number 1245233188
LBN Legal business name Graham, Suzanne Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 12th, 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 1245233188 NPPES
New Mexico Other 52423 PRESBYTERIAN COMMERCIAL
New Mexico Other 80815Z PRESBYTERIAN COMMERCIAL
New Mexico Other 82P193 PRESBYTERIAN COMMERCIAL
New Mexico MEDICAID 52423 PRESBYTERIAN COMMERCIAL
New Mexico MEDICAID V9653 PRESBYTERIAN COMMERCIAL
New Mexico Other A077 PRESBYTERIAN COMMERCIAL

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