MS. CANDACE LYNN GRAHAM (NPI# 1134433600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134433600 |
Entity Type | Individual |
Full Name | MS. CANDACE LYNN GRAHAM |
Practice Address |
5805 93rd St Lubbock TX 79424-3636 |
Practice Telephone | 8062526367 |
Practice Fax Number | 8066986534 |
Mailing Telephone | 8062526367 |
Mailing Fax Number | 8066986534 |
Enumeration Date | 2010-07-27 |
Last Update Date | 2010-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
32827 | TX | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518254697 | Candace Brooke Graham | Physical Therapy Assistant | 3125 Independence Dr, 300 B, Birmingham, AL 35209-4159 | 2011-07-08 |
Street Address |
5805 93RD ST |
City | LUBBOCK |
State | TX |
Zip Code | 79424-3636 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
Find all providers in zip 79424 |
Taxonomy Code | 2471V0105X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Vascular Sonography |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629349790 | Mansik Kim | Radiologic Technologist | 8831 Long Point Dr. Suite #104, Houston, TX 77055-4402 | 2012-01-22 |
1801172978 | Derwin Emil Bios | Radiologic Technologist | 524 Meadowlark St, Lakeway, TX 78734-5313 | 2011-11-02 |
1982904405 | Ultimate Ultrasound Services | Radiologic Technologist | 2300 Mccue Rd, 321, Houston, TX 77056-4633 | 2010-11-01 |
1659530905 | Gary Donald Thomas | Radiologic Technologist | 515 W Woodard St, Suite 101, Denison, TX 75020-3190 | 2008-06-03 |
1619905502 | Thomas Alexander Jr Services | Radiologic Technologist | 700 Olympic Plaza Cir Ste 850, Southwestern Cerebral Circulatory Dynamics, Tyler, TX 75701-1955 | 2006-06-29 |
1013530310 | Micah Johnson | Radiologic Technologist | 9819 Huebner Rd Bldg 4, San Antonio, TX 78240-3253 | 2020-05-20 |
1770966350 | Sarah Gooch | Radiologic Technologist | 9441 Lbj Fwy, Dallas, TX 75243-4545 | 2015-07-01 |
1396143715 | Images of Sound | Radiologic Technologist | 10680 Jones Rd, 150, Houston, TX 77065-5594 | 2014-12-17 |
1053679449 | First Choice Imaging | Radiologic Technologist | 8831 Long Point Rd, 104, Houston, TX 77055-3022 | 2012-04-24 |
1689733495 | Wes Jennings | Radiologic Technologist | 16601 Blanco Rd, #207, San Antonio, TX 78232-1914 | 2006-12-07 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.