Graham, Timothy Eugene

Graham, Timothy Eugene is an individual health care provider with primary practice located at 2901 N 4Th St , Longview TX 75605-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Graham, Timothy Eugene can be contacted via phone (903) 232-3660.

Contact Information

Primary practice address
2901 N 4Th St Longview TX 75605-5128
Phone: (903) 232-3660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H4356 Texas

Profile Details

NPI number 1235196742
LBN Legal business name Graham, Timothy Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 7th, 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 1235196742 NPPES
Texas MEDICAID 101468003

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