Organization
MKRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN KRAM M.D. (PRESIDENT)
(972) 264-9111
Entity
Organization
Contact information
Practice address
614 DALWORTH ST, GRAND PRAIRIE, TX 75050-5504
(972) 264-9111
(972) 264-9120
Mailing address
614 DALWORTH ST, GRAND PRAIRIE, TX 75050-5504
(972) 264-9111
(972) 264-9120
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K5593
TX
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145232804
—
TX
Enumeration date
02/01/2012
Last updated
04/01/2021
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