Graham, Ted

Graham, Ted is an sole proprietor health care provider with primary practice located at 3134 Briarcrest Dr , Bryan TX 77802-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Graham, Ted can be contacted via phone (979) 314-2323.

Contact Information

Primary practice address
3134 Briarcrest Dr Bryan TX 77802-3014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X R0007 Texas
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 200000436 North Carolina

Profile Details

NPI number 1093756249
LBN Legal business name Graham, Ted
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Apr 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093756249 NPPES
North Carolina MEDICAID 891261N

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