Ingraham, Annette B

Ingraham, Annette B is an individual health care provider with primary practice located at 150 E Medical Center Blvd Suite C, Webster TX 77598-4301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ingraham, Annette B can be contacted via phone (281) 212-2400.

Contact Information

Primary practice address
150 E Medical Center Blvd Suite C Webster TX 77598-4301
Fax: (281) 212-2499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J0012 Texas

Profile Details

NPI number 1639114762
LBN Legal business name Ingraham, Annette B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 2nd, 2009 - about 15 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 1639114762 NPPES
Texas MEDICAID 129469607

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