Organization
GRAHAM HOSPITAL DISTRICT
Active
Other names
Graham Regional Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE KERNELL (CEO)
(940) 549-3400
Entity
Organization
Contact information
Practice address
1301 MONTGOMERY RD, GRAHAM, TX 76450-4240
(940) 549-3400
Mailing address
1301 MONTGOMERY RD, GRAHAM, TX 76450-4240
(940) 549-3400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
100252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401018301
—
TX
Enumeration date
05/16/2016
Last updated
01/04/2023
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