Individual
DR. SUZANNE CAROL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, 1A115, LUBBOCK, TX 79430-0002
(806) 743-2155
(806) 743-2117
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-3596
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H2131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52423
PRESBYTERIAN COMMERCIAL
NM
05
—
52423
—
NM
01
—
80815Z
HMO BLUE
TX
01
—
82P193
BLUE CROSS & BLUE SHEILD
TX
01
—
A077
TRIWEST
—
05
—
V9653
—
NM
Enumeration date
05/24/2005
Last updated
07/12/2007
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