Mcmahan, Grady Mark
Mcmahan, Grady Mark is an individual health care provider with primary practice located at 4101 Wesley St Ste C, Greenville TX 75401-5635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcmahan, Grady Mark can be contacted via phone (903) 454-8111.Contact Information
Primary practice address
4101 Wesley St Ste C
Greenville TX 75401-5635
Phone: (903) 454-8111
Fax: (903) 454-1680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J6584 | Texas |
Profile Details
| NPI number | 1205839537 |
|---|---|
| LBN Legal business name | Mcmahan, Grady Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205839537 | NPPES |
| Texas | Other | P00217687 | RAILROAD MEDICARE |
| Texas | Other | 8J1203 | RAILROAD MEDICARE |
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