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NPI Code Detail

MEDICARE: GRAHAMTIME FAMILY PLLC

MEDICARE: GRAHAMTIME FAMILY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0901XPublic Health & General Preventive Medicine Physician

General Provider Information

NPI Number : 1871794941
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRAHAMTIME FAMILY PLLC
Provider Business Mailing Address
First Line : 2519 RUTH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5285
Country : US
Telephone Number : 713-520-8870
Fax Number : 713-520-0688
Provider Business Practice Location Address
First Line : 2519 RUTH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5285
Country : US
Telephone Number : 713-520-8870
Fax Number : 713-520-0688
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : MRS. JACKIE LINNEAR
Credential :
Telephone Number : 713-520-8870
Provider Enumeration Date : 05/29/2007
Last Update Date : 08/22/2020

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Directions to “GRAHAMTIME FAMILY PLLC ” Practice Location

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