Individual
ANNETTE B INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 E MEDICAL CENTER BLVD, SUITE C, WEBSTER, TX 77598-4301
(281) 212-2400
(281) 212-2499
Mailing address
150 E MEDICAL CENTER BLVD, SUITE C, WEBSTER, TX 77598-4301
(281) 212-2400
(281) 212-2499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J0012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129469607
—
TX
Enumeration date
06/20/2006
Last updated
04/02/2009
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